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
480
Total Claims
$773K
Drug Cost
160
Beneficiaries
$4,828
Cost/Patient
Risk Score Breakdown 32/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+1035%
Opioid rate vs peers
25.4% vs 2.2% avg
+242%
Cost per patient vs peers
$4,828 vs $1,411 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
25.4%
Opioid Rate
122
Opioid Claims
$2,986
Opioid Cost
18.9%
Long-Acting Rate
This provider's opioid prescribing rate of 25.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 404 claims · $69K
Patient Profile
65
Avg Age
51%
Female
3.04
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