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
10,049
Total Claims
$686K
Drug Cost
340
Beneficiaries
$2,017
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+459%
Opioid rate vs peers
12.5% vs 2.2% avg
+43%
Cost per patient vs peers
$2,017 vs $1,411 avg
+21%
Brand preference vs peers
12.9% vs 10.6% avg
🔎 Data Overview
Opioid rate is 459% above Internal Medicine peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
12.5%
Opioid Rate
1,257
Opioid Claims
$97K
Opioid Cost
20.8%
Long-Acting Rate
Brand vs Generic
Brand: 1,291 claims · $454K
Generic: 8,731 claims · $230K
Patient Profile
75
Avg Age
66%
Female
2.36
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