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
645
Total Claims
$36K
Drug Cost
168
Beneficiaries
$215
Cost/Patient
Risk Score Breakdown 53/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+2116%
Opioid rate vs peers
49.6% vs 2.2% avg
-85%
Cost per patient vs peers
$215 vs $1,411 avg
-72%
Brand preference vs peers
2.9% 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 2,116% above the average for Internal Medicine providers. While some providers legitimately treat pain-heavy populations, deviations of this magnitude are rare and warrant examination.
Composite risk score of 53/100 places this provider in the "High Risk" category — the top 0.017% of all Medicare Part D prescribers. Multiple independent risk factors are contributing simultaneously.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
49.6%
Opioid Rate
320
Opioid Claims
$24K
Opioid Cost
34.4%
Long-Acting Rate
This provider's opioid prescribing rate of 49.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 19 claims · $8,699
Generic: 626 claims · $27K
Patient Profile
74
Avg Age
45%
Female
2.59
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