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
30,654
Total Claims
$3.9M
Drug Cost
1,140
Beneficiaries
$3,414
Cost/Patient
Risk Score Breakdown 15/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+206%
Opioid rate vs peers
6.9% vs 2.2% avg
+142%
Cost per patient vs peers
$3,414 vs $1,411 avg
+41%
Brand preference vs peers
15.0% vs 10.6% avg
🔎 Data Overview
Opioid rate is 206% 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
6.9%
Opioid Rate
2,102
Opioid Claims
$53K
Opioid Cost
1.8%
Long-Acting Rate
Brand vs Generic
Brand: 4,556 claims · $3.3M
Generic: 25,759 claims · $563K
Patient Profile
68
Avg Age
66%
Female
1.60
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