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
2,340
Total Claims
$4.2M
Drug Cost
352
Beneficiaries
$12K
Cost/Patient
Risk Score Breakdown 32/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+412%
Opioid rate vs peers
11.5% vs 2.2% avg
+743%
Cost per patient vs peers
$12K vs $1,411 avg
🔎 Data Overview
Opioid rate is 412% above Internal Medicine peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
Cost per patient is 743% above the specialty average. Extreme cost outliers may indicate prescribing of unnecessarily expensive brand-name drugs or inappropriate drug utilization.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
11.5%
Opioid Rate
268
Opioid Claims
$9,954
Opioid Cost
19.8%
Long-Acting Rate
Brand vs Generic
Brand: 0 claims · $0
Generic: 2,092 claims · $2.0M
Patient Profile
72
Avg Age
26%
Female
2.28
Avg Risk Score
Explore More
Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About