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
103
Total Claims
$9,574
Drug Cost
32
Beneficiaries
$299
Cost/Patient
Risk Score Breakdown 39/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+2589%
Opioid rate vs peers
60.2% vs 2.2% avg
-79%
Cost per patient vs peers
$299 vs $1,411 avg
+110%
Brand preference vs peers
22.3% 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 2,589% 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
60.2%
Opioid Rate
62
Opioid Claims
$8,047
Opioid Cost
48.4%
Long-Acting Rate
This provider's opioid prescribing rate of 60.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 23 claims · $6,338
Generic: 80 claims · $3,235
Patient Profile
71
Avg Age
53%
Female
2.65
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