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
734
Total Claims
$96K
Drug Cost
99
Beneficiaries
$971
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+2061%
Opioid rate vs peers
48.4% vs 2.2% avg
-31%
Cost per patient vs peers
$971 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 2,061% 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
48.4%
Opioid Rate
355
Opioid Claims
$77K
Opioid Cost
41.4%
Long-Acting Rate
This provider's opioid prescribing rate of 48.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 82 claims · $68K
Generic: 652 claims · $28K
Patient Profile
69
Avg Age
47%
Female
3.33
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