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
6,704
Total Claims
$543K
Drug Cost
319
Beneficiaries
$1,703
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+678%
Opioid rate vs peers
17.4% vs 2.2% avg
+21%
Cost per patient vs peers
$1,703 vs $1,411 avg
-27%
Brand preference vs peers
7.7% 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 678% 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
17.4%
Opioid Rate
1,168
Opioid Claims
$97K
Opioid Cost
7.6%
Long-Acting Rate
Brand vs Generic
Brand: 517 claims · $311K
Generic: 6,172 claims · $232K
Patient Profile
71
Avg Age
49%
Female
1.38
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