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
44,980
Total Claims
$10.7M
Drug Cost
1,100
Beneficiaries
$9,770
Cost/Patient
Risk Score Breakdown 24/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
-81%
Opioid rate vs peers
0.4% vs 2.2% avg
+592%
Cost per patient vs peers
$9,770 vs $1,411 avg
+148%
Brand preference vs peers
26.4% vs 10.6% avg
🔎 Data Overview
Cost per patient is 592% 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.
Opioid Prescribing
0.4%
Opioid Rate
189
Opioid Claims
$3,809
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 11,691 claims · $8.6M
Generic: 32,582 claims · $2.1M
Patient Profile
75
Avg Age
58%
Female
1.50
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