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
24,515
Total Claims
$1.9M
Drug Cost
667
Beneficiaries
$2,920
Cost/Patient
Risk Score Breakdown 12/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+279%
Opioid rate vs peers
8.5% vs 2.2% avg
+107%
Cost per patient vs peers
$2,920 vs $1,411 avg
-19%
Brand preference vs peers
8.6% vs 10.6% avg
🔎 Data Overview
Opioid rate is 279% 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
8.5%
Opioid Rate
2,080
Opioid Claims
$38K
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 2,090 claims · $1.5M
Generic: 22,190 claims · $417K
Patient Profile
72
Avg Age
61%
Female
1.47
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