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
8,303
Total Claims
$1.2M
Drug Cost
392
Beneficiaries
$3,139
Cost/Patient
Risk Score Breakdown 30/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+700%
Opioid rate vs peers
17.9% vs 2.2% avg
+122%
Cost per patient vs peers
$3,139 vs $1,411 avg
+45%
Brand preference vs peers
15.4% 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 700% 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
17.9%
Opioid Rate
1,486
Opioid Claims
$37K
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 1,270 claims · $1.1M
Generic: 6,977 claims · $135K
Patient Profile
69
Avg Age
53%
Female
1.50
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