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
774
Total Claims
$122K
Drug Cost
164
Beneficiaries
$743
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 138 Pathology providers
+2635%
Opioid rate vs peers
54.5% vs 2.0% avg
+6%
Cost per patient vs peers
$743 vs $701 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 2,635% above the average for Pathology 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
54.5%
Opioid Rate
422
Opioid Claims
$55K
Opioid Cost
52.1%
Long-Acting Rate
This provider's opioid prescribing rate of 54.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 493 claims · $51K
Patient Profile
73
Avg Age
55%
Female
1.26
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