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
22,646
Total Claims
$2.0M
Drug Cost
1,109
Beneficiaries
$1,818
Cost/Patient
Risk Score Breakdown 15/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+274%
Opioid rate vs peers
8.4% vs 2.2% avg
+29%
Cost per patient vs peers
$1,818 vs $1,411 avg
+51%
Brand preference vs peers
16.0% vs 10.6% avg
🔎 Data Overview
Opioid rate is 274% 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
8.4%
Opioid Rate
1,896
Opioid Claims
$51K
Opioid Cost
11.3%
Long-Acting Rate
Brand vs Generic
Brand: 3,606 claims · $1.6M
Generic: 18,881 claims · $412K
Patient Profile
75
Avg Age
60%
Female
1.81
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