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
179
Total Claims
$45K
Drug Cost
29
Beneficiaries
$1,569
Cost/Patient
Risk Score Breakdown 21/100
Score components are additive. Read full methodology
Peer Comparison vs. 775 Hematology providers
+733%
Opioid rate vs peers
42.5% vs 5.1% avg
-91%
Cost per patient vs peers
$1,569 vs $18K avg
-64%
Brand preference vs peers
8.4% vs 23.1% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
42.5%
Opioid Rate
76
Opioid Claims
$1,196
Opioid Cost
15.8%
Long-Acting Rate
This provider's opioid prescribing rate of 42.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 15 claims · $14K
Generic: 164 claims · $31K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Deferoxamine Mesylate | 36 | $14K |
| Hydroxyurea | 20 | $1,311 |
| Hydrocodone/Acetaminophen | 32 | $543 |
| Methadone Hcl | 12 | $312 |
| Oxycodone Hcl/Acetaminophen | 11 | $213 |
| Hydromorphone Hcl | 15 | $94 |
Prescribing Profile
6
Unique Drugs
21.0
Anomaly Score
Patient Profile
42
Avg Age
—
Female
4.43
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.Methodology · About