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
2,419
Total Claims
$82K
Drug Cost
311
Beneficiaries
$265
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+653%
Opioid rate vs peers
16.9% vs 2.2% avg
-81%
Cost per patient vs peers
$265 vs $1,411 avg
-21%
Brand preference vs peers
8.4% vs 10.6% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
🔎 Data Overview
Opioid prescribing rate is 653% 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
16.9%
Opioid Rate
408
Opioid Claims
$22K
Opioid Cost
27.0%
Long-Acting Rate
Brand vs Generic
Brand: 201 claims · $45K
Generic: 2,202 claims · $37K
Patient Profile
76
Avg Age
60%
Female
3.09
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