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
632
Total Claims
$514K
Drug Cost
90
Beneficiaries
$5,714
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 3,372 Medical Oncology providers
+467%
Opioid rate vs peers
33.2% vs 5.9% avg
-53%
Cost per patient vs peers
$5,714 vs $12K avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
🔎 Data Overview
Opioid rate is 467% above Medical Oncology 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
33.2%
Opioid Rate
210
Opioid Claims
$16K
Opioid Cost
29.0%
Long-Acting Rate
This provider's opioid prescribing rate of 33.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 85 claims · $379K
Generic: 547 claims · $136K
Patient Profile
70
Avg Age
56%
Female
2.60
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