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
2,851
Total Claims
$342K
Drug Cost
351
Beneficiaries
$974
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+705%
Opioid rate vs peers
18.0% vs 2.2% avg
-31%
Cost per patient vs peers
$974 vs $1,411 avg
+10%
Brand preference vs peers
11.6% vs 10.6% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
🔎 Data Overview
Opioid prescribing rate is 705% above the average for Internal Medicine providers. While some providers legitimately treat pain-heavy populations, deviations of this magnitude are rare and warrant examination.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
18.0%
Opioid Rate
514
Opioid Claims
$113K
Opioid Cost
27.6%
Long-Acting Rate
Brand vs Generic
Brand: 330 claims · $272K
Generic: 2,504 claims · $69K
Patient Profile
70
Avg Age
43%
Female
1.68
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