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
9,852
Total Claims
$694K
Drug Cost
516
Beneficiaries
$1,346
Cost/Patient
Risk Score Breakdown 44/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+1717%
Opioid rate vs peers
40.7% vs 2.2% avg
-5%
Cost per patient vs peers
$1,346 vs $1,411 avg
-8%
Brand preference vs peers
9.8% 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 1,717% 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
40.7%
Opioid Rate
4,006
Opioid Claims
$207K
Opioid Cost
12.0%
Long-Acting Rate
This provider's opioid prescribing rate of 40.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 965 claims · $439K
Generic: 8,869 claims · $254K
Patient Profile
68
Avg Age
57%
Female
1.71
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