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
20,026
Total Claims
$2.6M
Drug Cost
662
Beneficiaries
$3,962
Cost/Patient
Risk Score Breakdown 26/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+592%
Opioid rate vs peers
15.5% vs 2.2% avg
+181%
Cost per patient vs peers
$3,962 vs $1,411 avg
+46%
Brand preference vs peers
15.5% vs 10.6% avg
🔎 Data Overview
Opioid prescribing rate is 592% above the average for Internal Medicine providers. While some providers legitimately treat pain-heavy populations, deviations of this magnitude are rare and warrant examination.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
15.5%
Opioid Rate
3,102
Opioid Claims
$289K
Opioid Cost
14.3%
Long-Acting Rate
Brand vs Generic
Brand: 3,090 claims · $2.2M
Generic: 16,821 claims · $418K
Patient Profile
70
Avg Age
57%
Female
1.65
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