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
179
Total Claims
$5,476
Drug Cost
105
Beneficiaries
$52
Cost/Patient
Risk Score Breakdown 6/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+399%
Opioid rate vs peers
11.2% vs 2.2% avg
-96%
Cost per patient vs peers
$52 vs $1,411 avg
🔎 Data Overview
Opioid rate is 399% above Internal Medicine peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
Prescribes only 2 unique drugs, which is unusually low. Most providers prescribe 30+ different medications. Narrow prescribing patterns deserve context about the provider's practice scope.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
11.2%
Opioid Rate
20
Opioid Claims
$122
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 0 claims · $0
Generic: 166 claims · $1,727
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Cefuroxime Axetil | 30 | $430 |
| Pantoprazole Sodium | 11 | $91 |
Prescribing Profile
2
Unique Drugs
6.0
Anomaly Score
Patient Profile
74
Avg Age
63%
Female
1.86
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 of wrongdoing.Methodology · About · Dispute this data