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
343
Total Claims
$15K
Drug Cost
127
Beneficiaries
$121
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+629%
Opioid rate vs peers
16.3% vs 2.2% avg
-91%
Cost per patient vs peers
$121 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 629% 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
16.3%
Opioid Rate
56
Opioid Claims
$2,857
Opioid Cost
35.7%
Long-Acting Rate
Brand vs Generic
Brand: 0 claims · $0
Generic: 280 claims · $5,647
Patient Profile
75
Avg Age
66%
Female
3.14
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