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
20,746
Total Claims
$1.1M
Drug Cost
422
Beneficiaries
$2,695
Cost/Patient
Risk Score Breakdown 17/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+361%
Opioid rate vs peers
10.3% vs 2.2% avg
+91%
Cost per patient vs peers
$2,695 vs $1,411 avg
+48%
Brand preference vs peers
15.7% vs 10.6% avg
🔎 Data Overview
Opioid rate is 361% 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
10.3%
Opioid Rate
2,143
Opioid Claims
$54K
Opioid Cost
9.1%
Long-Acting Rate
Brand vs Generic
Brand: 3,252 claims · $704K
Generic: 17,460 claims · $433K
Patient Profile
77
Avg Age
65%
Female
2.01
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