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
18,035
Total Claims
$1.5M
Drug Cost
545
Beneficiaries
$2,791
Cost/Patient
Risk Score Breakdown 26/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+283%
Opioid rate vs peers
8.6% vs 2.2% avg
+98%
Cost per patient vs peers
$2,791 vs $1,411 avg
+16%
Brand preference vs peers
12.4% vs 10.6% avg
🔎 Data Overview
Opioid rate is 283% 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
8.6%
Opioid Rate
1,548
Opioid Claims
$102K
Opioid Cost
23.3%
Long-Acting Rate
Brand vs Generic
Brand: 2,214 claims · $1.1M
Generic: 15,702 claims · $419K
Patient Profile
73
Avg Age
61%
Female
2.26
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