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
243
Total Claims
$288K
Drug Cost
32
Beneficiaries
$9,011
Cost/Patient
Risk Score Breakdown 34/100
Score components are additive. Read full methodology
Peer Comparison vs. 775 Hematology providers
+724%
Opioid rate vs peers
42.0% vs 5.1% avg
-50%
Cost per patient vs peers
$9,011 vs $18K avg
-9%
Brand preference vs peers
21.0% vs 23.1% 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 724% above the average for Hematology 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
42.0%
Opioid Rate
102
Opioid Claims
$35K
Opioid Cost
53.9%
Long-Acting Rate
This provider's opioid prescribing rate of 42.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 51 claims · $178K
Generic: 192 claims · $111K
Patient Profile
56
Avg Age
50%
Female
4.21
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