Risk scores are statistical indicators based on prescribing patterns compared to specialty peers. They are NOT allegations of fraud, misconduct, or improper care. Many legitimate medical reasons can explain outlier prescribing.
Read our methodology →Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
464
Total Claims
$24K
Drug Cost
183
Beneficiaries
$132
Cost/Patient
Risk Score Breakdown 30/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+1527%
Opioid rate vs peers
36.4% vs 2.2% avg
-91%
Cost per patient vs peers
$132 vs $1,411 avg
+46%
Brand preference vs peers
15.5% vs 10.6% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
36.4%
Opioid Rate
169
Opioid Claims
$1,555
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 36.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 72 claims · $20K
Generic: 392 claims · $4,305
Patient Profile
72
Avg Age
62%
Female
0.79
Avg Risk Score
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Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About