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
672
Total Claims
$41K
Drug Cost
130
Beneficiaries
$316
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 16,767 Hospitalist providers
+1527%
Opioid rate vs peers
48.7% vs 3.0% avg
-26%
Cost per patient vs peers
$316 vs $427 avg
+25%
Brand preference vs peers
6.5% vs 5.2% 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 1,527% above the average for Hospitalist 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
48.7%
Opioid Rate
327
Opioid Claims
$26K
Opioid Cost
33.3%
Long-Acting Rate
This provider's opioid prescribing rate of 48.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 44 claims · $10K
Generic: 628 claims · $31K
Patient Profile
70
Avg Age
59%
Female
3.69
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