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
14,841
Total Claims
$2.9M
Drug Cost
299
Beneficiaries
$9,687
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
-87%
Opioid rate vs peers
0.3% vs 2.2% avg
+587%
Cost per patient vs peers
$9,687 vs $1,411 avg
+169%
Brand preference vs peers
28.6% vs 10.6% avg
🔎 Data Overview
Cost per patient is 587% 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
0.3%
Opioid Rate
43
Opioid Claims
$572
Opioid Cost
27.9%
Long-Acting Rate
Brand vs Generic
Brand: 4,131 claims · $2.5M
Generic: 10,336 claims · $349K
Patient Profile
76
Avg Age
66%
Female
1.87
Avg Risk Score
Explore More
Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About