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
278
Total Claims
$10K
Drug Cost
162
Beneficiaries
$62
Cost/Patient
Risk Score Breakdown 35/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+2375%
Opioid rate vs peers
55.4% vs 2.2% avg
-96%
Cost per patient vs peers
$62 vs $1,411 avg
+42%
Brand preference vs peers
15.1% vs 10.6% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
55.4%
Opioid Rate
154
Opioid Claims
$739
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 55.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 42 claims · $8,101
Generic: 236 claims · $1,977
Patient Profile
75
Avg Age
50%
Female
0.90
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