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
3,336
Total Claims
$167K
Drug Cost
483
Beneficiaries
$347
Cost/Patient
Risk Score Breakdown 38/100
Score components are additive. Read full methodology
Peer Comparison vs. 3,372 Medical Oncology providers
+396%
Opioid rate vs peers
29.0% vs 5.9% avg
-97%
Cost per patient vs peers
$347 vs $12K avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
🔎 Data Overview
Opioid rate is 396% above Medical Oncology peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
29.0%
Opioid Rate
969
Opioid Claims
$46K
Opioid Cost
50.6%
Long-Acting Rate
This provider's opioid prescribing rate of 29.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 3,131 claims · $123K
Patient Profile
73
Avg Age
55%
Female
3.05
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