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
28,035
Total Claims
$1.7M
Drug Cost
739
Beneficiaries
$2,317
Cost/Patient
Risk Score Breakdown 29/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+536%
Opioid rate vs peers
14.2% vs 2.2% avg
+64%
Cost per patient vs peers
$2,317 vs $1,411 avg
-22%
Brand preference vs peers
8.3% vs 10.6% avg
🔎 Data Overview
Opioid prescribing rate is 536% 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
14.2%
Opioid Rate
3,991
Opioid Claims
$264K
Opioid Cost
6.4%
Long-Acting Rate
Brand vs Generic
Brand: 2,319 claims · $1.1M
Generic: 25,548 claims · $564K
Patient Profile
67
Avg Age
55%
Female
1.40
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