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
828
Total Claims
$50K
Drug Cost
145
Beneficiaries
$343
Cost/Patient
Risk Score Breakdown 38/100
Score components are additive. Read full methodology
Peer Comparison vs. 16,767 Hospitalist providers
+958%
Opioid rate vs peers
31.6% vs 3.0% avg
-20%
Cost per patient vs peers
$343 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 958% 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
31.6%
Opioid Rate
262
Opioid Claims
$17K
Opioid Cost
29.8%
Long-Acting Rate
This provider's opioid prescribing rate of 31.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 773 claims · $31K
Patient Profile
76
Avg Age
49%
Female
2.64
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