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
1,741
Total Claims
$3.8M
Drug Cost
292
Beneficiaries
$13K
Cost/Patient
Risk Score Breakdown 32/100
Score components are additive. Read full methodology
Peer Comparison vs. 16,767 Hospitalist providers
+493%
Opioid rate vs peers
17.7% vs 3.0% avg
+2958%
Cost per patient vs peers
$13K vs $427 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
🔎 Data Overview
Opioid rate is 493% above Hospitalist peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
Cost per patient is 2958% above the specialty average. Extreme cost outliers may indicate prescribing of unnecessarily expensive brand-name drugs or inappropriate drug utilization.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
17.7%
Opioid Rate
309
Opioid Claims
$7,778
Opioid Cost
22.7%
Long-Acting Rate
Brand vs Generic
Brand: 0 claims · $0
Generic: 1,412 claims · $392K
Patient Profile
71
Avg Age
65%
Female
2.21
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