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
2,798
Total Claims
$4.6M
Drug Cost
416
Beneficiaries
$11K
Cost/Patient
Risk Score Breakdown 30/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+449%
Opioid rate vs peers
12.3% vs 2.2% avg
+675%
Cost per patient vs peers
$11K vs $1,411 avg
🔎 Data Overview
Opioid rate is 449% above Internal Medicine peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
Cost per patient is 675% 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
12.3%
Opioid Rate
344
Opioid Claims
$18K
Opioid Cost
25.6%
Long-Acting Rate
Brand vs Generic
Brand: 0 claims · $0
Generic: 2,331 claims · $425K
Patient Profile
73
Avg Age
58%
Female
1.91
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