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
422
Total Claims
$94K
Drug Cost
93
Beneficiaries
$1,014
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+715%
Opioid rate vs peers
18.2% vs 2.2% avg
-28%
Cost per patient vs peers
$1,014 vs $1,411 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 715% 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
18.2%
Opioid Rate
77
Opioid Claims
$4,176
Opioid Cost
62.3%
Long-Acting Rate
Brand vs Generic
Brand: 0 claims · $0
Generic: 395 claims · $12K
Patient Profile
78
Avg Age
50%
Female
2.59
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