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
533
Total Claims
$120K
Drug Cost
46
Beneficiaries
$2,604
Cost/Patient
Risk Score Breakdown 39/100
Score components are additive. Read full methodology
Peer Comparison vs. 775 Hematology providers
+1015%
Opioid rate vs peers
56.8% vs 5.1% avg
-86%
Cost per patient vs peers
$2,604 vs $18K avg
-30%
Brand preference vs peers
16.1% vs 23.1% 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 1,015% above the average for Hematology 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
56.8%
Opioid Rate
303
Opioid Claims
$17K
Opioid Cost
38.9%
Long-Acting Rate
This provider's opioid prescribing rate of 56.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 86 claims · $98K
Generic: 447 claims · $22K
Patient Profile
54
Avg Age
61%
Female
4.40
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