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
79
Total Claims
$5,323
Drug Cost
13
Beneficiaries
$409
Cost/Patient
Risk Score Breakdown 30/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+2105%
Opioid rate vs peers
49.4% vs 2.2% avg
-71%
Cost per patient vs peers
$409 vs $1,411 avg
+269%
Brand preference vs peers
39.2% 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 2,105% 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
49.4%
Opioid Rate
39
Opioid Claims
$3,131
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 49.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 31 claims · $2,881
Generic: 48 claims · $2,441
Patient Profile
72
Avg Age
—
Female
3.10
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