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
578
Total Claims
$217K
Drug Cost
32
Beneficiaries
$6,775
Cost/Patient
Risk Score Breakdown 42/100
Score components are additive. Read full methodology
Peer Comparison vs. 8,541 Hematology-Oncology providers
+780%
Opioid rate vs peers
55.2% vs 6.3% avg
-50%
Cost per patient vs peers
$6,775 vs $14K avg
-4%
Brand preference vs peers
14.0% vs 14.6% 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 780% above the average for Hematology-Oncology 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
55.2%
Opioid Rate
319
Opioid Claims
$23K
Opioid Cost
40.1%
Long-Acting Rate
This provider's opioid prescribing rate of 55.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 81 claims · $199K
Generic: 497 claims · $18K
Patient Profile
48
Avg Age
47%
Female
4.38
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