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
19,053
Total Claims
$2.3M
Drug Cost
629
Beneficiaries
$3,650
Cost/Patient
Risk Score Breakdown 15/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+259%
Opioid rate vs peers
8.0% vs 2.2% avg
+159%
Cost per patient vs peers
$3,650 vs $1,411 avg
+40%
Brand preference vs peers
14.9% vs 10.6% avg
🔎 Data Overview
Opioid rate is 259% above Internal Medicine peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
8.0%
Opioid Rate
1,529
Opioid Claims
$44K
Opioid Cost
6.5%
Long-Acting Rate
Brand vs Generic
Brand: 2,821 claims · $2.0M
Generic: 16,169 claims · $328K
Patient Profile
71
Avg Age
68%
Female
1.55
Avg Risk Score
Explore More
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