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
27,623
Total Claims
$5.6M
Drug Cost
422
Beneficiaries
$13K
Cost/Patient
Risk Score Breakdown 24/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
-66%
Opioid rate vs peers
0.8% vs 2.2% avg
+843%
Cost per patient vs peers
$13K vs $1,411 avg
+161%
Brand preference vs peers
27.7% vs 10.6% avg
🔎 Data Overview
Cost per patient is 843% 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
0.8%
Opioid Rate
210
Opioid Claims
$7,373
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 7,596 claims · $5.0M
Generic: 19,803 claims · $614K
Patient Profile
76
Avg Age
56%
Female
2.25
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