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
438
Total Claims
$31K
Drug Cost
77
Beneficiaries
$403
Cost/Patient
Risk Score Breakdown 38/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+1970%
Opioid rate vs peers
46.3% vs 2.2% avg
-71%
Cost per patient vs peers
$403 vs $1,411 avg
-10%
Brand preference vs peers
9.6% 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 1,970% 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
46.3%
Opioid Rate
203
Opioid Claims
$17K
Opioid Cost
22.7%
Long-Acting Rate
This provider's opioid prescribing rate of 46.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 42 claims · $10K
Generic: 396 claims · $21K
Patient Profile
69
Avg Age
52%
Female
3.60
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