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
822
Total Claims
$64K
Drug Cost
110
Beneficiaries
$585
Cost/Patient
Risk Score Breakdown 38/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+1693%
Opioid rate vs peers
40.1% vs 2.2% avg
-59%
Cost per patient vs peers
$585 vs $1,411 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
40.1%
Opioid Rate
330
Opioid Claims
$54K
Opioid Cost
30.3%
Long-Acting Rate
This provider's opioid prescribing rate of 40.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 764 claims · $22K
Patient Profile
76
Avg Age
51%
Female
2.85
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