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
206
Total Claims
$59K
Drug Cost
27
Beneficiaries
$2,199
Cost/Patient
Risk Score Breakdown 48/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+3196%
Opioid rate vs peers
73.8% vs 2.2% avg
+56%
Cost per patient vs peers
$2,199 vs $1,411 avg
+5%
Brand preference vs peers
11.2% 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 3,196% 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
73.8%
Opioid Rate
152
Opioid Claims
$8,021
Opioid Cost
41.4%
Long-Acting Rate
This provider's opioid prescribing rate of 73.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 23 claims · $53K
Generic: 183 claims · $6,139
Patient Profile
54
Avg Age
48%
Female
3.26
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