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
61,906
Total Claims
$24.3M
Drug Cost
2,565
Beneficiaries
$9,459
Cost/Patient
Risk Score Breakdown 15/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+570%
Cost per patient vs peers
$9,459 vs $1,411 avg
+351%
Brand preference vs peers
48.0% vs 10.6% avg
🔎 Data Overview
Cost per patient is 570% above the specialty average. Extreme cost outliers may indicate prescribing of unnecessarily expensive brand-name drugs or inappropriate drug utilization.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Brand vs Generic
Brand: 26,709 claims · $22.4M
Generic: 28,946 claims · $1.2M
Patient Profile
72
Avg Age
62%
Female
1.73
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