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
3,175
Total Claims
$233K
Drug Cost
377
Beneficiaries
$618
Cost/Patient
Risk Score Breakdown 45/100
Score components are additive. Read full methodology
Peer Comparison vs. 16,767 Hospitalist providers
+1949%
Opioid rate vs peers
61.3% vs 3.0% avg
+45%
Cost per patient vs peers
$618 vs $427 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 1,949% 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
61.3%
Opioid Rate
1,946
Opioid Claims
$168K
Opioid Cost
23.3%
Long-Acting Rate
This provider's opioid prescribing rate of 61.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 2,922 claims · $91K
Patient Profile
64
Avg Age
64%
Female
1.90
Avg Risk Score
Explore More
Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About