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
8,823
Total Claims
$989K
Drug Cost
514
Beneficiaries
$1,924
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+616%
Opioid rate vs peers
16.0% vs 2.2% avg
+36%
Cost per patient vs peers
$1,924 vs $1,411 avg
+10%
Brand preference vs peers
11.7% 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 616% 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
16.0%
Opioid Rate
1,415
Opioid Claims
$119K
Opioid Cost
26.2%
Long-Acting Rate
Brand vs Generic
Brand: 1,023 claims · $763K
Generic: 7,755 claims · $223K
Patient Profile
72
Avg Age
53%
Female
2.33
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