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
744
Total Claims
$43K
Drug Cost
148
Beneficiaries
$288
Cost/Patient
Risk Score Breakdown 38/100
Score components are additive. Read full methodology
Peer Comparison vs. 16,767 Hospitalist providers
+1383%
Opioid rate vs peers
44.4% vs 3.0% avg
-33%
Cost per patient vs peers
$288 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 1,383% 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
44.4%
Opioid Rate
330
Opioid Claims
$15K
Opioid Cost
32.1%
Long-Acting Rate
This provider's opioid prescribing rate of 44.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 685 claims · $23K
Patient Profile
72
Avg Age
58%
Female
3.38
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