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
34,790
Total Claims
$4.0M
Drug Cost
1,645
Beneficiaries
$2,408
Cost/Patient
Risk Score Breakdown 15/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+244%
Opioid rate vs peers
7.7% vs 2.2% avg
+71%
Cost per patient vs peers
$2,408 vs $1,411 avg
+38%
Brand preference vs peers
14.7% vs 10.6% avg
🔎 Data Overview
Opioid rate is 244% 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
7.7%
Opioid Rate
2,680
Opioid Claims
$63K
Opioid Cost
3.3%
Long-Acting Rate
Brand vs Generic
Brand: 5,058 claims · $3.2M
Generic: 29,420 claims · $728K
Patient Profile
68
Avg Age
64%
Female
2.13
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