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
22,018
Total Claims
$2.9M
Drug Cost
1,338
Beneficiaries
$2,160
Cost/Patient
Risk Score Breakdown 28/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+450%
Opioid rate vs peers
12.3% vs 2.2% avg
+53%
Cost per patient vs peers
$2,160 vs $1,411 avg
+37%
Brand preference vs peers
14.6% vs 10.6% avg
🔎 Data Overview
Opioid rate is 450% 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
12.3%
Opioid Rate
2,712
Opioid Claims
$226K
Opioid Cost
19.8%
Long-Acting Rate
Brand vs Generic
Brand: 3,178 claims · $2.3M
Generic: 18,662 claims · $534K
Patient Profile
74
Avg Age
50%
Female
1.60
Avg Risk Score
Explore More
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