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
17,951
Total Claims
$1.1M
Drug Cost
523
Beneficiaries
$2,171
Cost/Patient
Risk Score Breakdown 12/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+402%
Opioid rate vs peers
11.2% vs 2.2% avg
+54%
Cost per patient vs peers
$2,171 vs $1,411 avg
-16%
Brand preference vs peers
9.0% vs 10.6% avg
🔎 Data Overview
Opioid rate is 402% 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
11.2%
Opioid Rate
2,016
Opioid Claims
$64K
Opioid Cost
3.7%
Long-Acting Rate
Brand vs Generic
Brand: 1,605 claims · $892K
Generic: 16,276 claims · $242K
Patient Profile
72
Avg Age
46%
Female
1.38
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