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
41,148
Total Claims
$13.2M
Drug Cost
559
Beneficiaries
$24K
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
-41%
Opioid rate vs peers
1.3% vs 2.2% avg
+1579%
Cost per patient vs peers
$24K vs $1,411 avg
+285%
Brand preference vs peers
40.9% vs 10.6% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
🔎 Data Overview
Cost per patient is 1579% above the specialty average. Extreme cost outliers may indicate prescribing of unnecessarily expensive brand-name drugs or inappropriate drug utilization.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
1.3%
Opioid Rate
542
Opioid Claims
$34K
Opioid Cost
3.5%
Long-Acting Rate
Brand vs Generic
Brand: 16,486 claims · $10.9M
Generic: 23,798 claims · $2.3M
Patient Profile
77
Avg Age
67%
Female
1.69
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