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
94
Total Claims
$19K
Drug Cost
38
Beneficiaries
$497
Cost/Patient
Risk Score Breakdown 30/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+1753%
Opioid rate vs peers
41.5% vs 2.2% avg
-65%
Cost per patient vs peers
$497 vs $1,411 avg
+50%
Brand preference vs peers
16.0% vs 10.6% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
🔎 Data Overview
Opioid prescribing rate is 1,753% 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
41.5%
Opioid Rate
39
Opioid Claims
$172
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 41.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 15 claims · $16K
Generic: 79 claims · $2,623
Patient Profile
66
Avg Age
55%
Female
1.25
Avg Risk Score
Explore More
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