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
123
Total Claims
$321K
Drug Cost
27
Beneficiaries
$12K
Cost/Patient
Risk Score Breakdown 34/100
Score components are additive. Read full methodology
Peer Comparison vs. 8,541 Hematology-Oncology providers
+885%
Opioid rate vs peers
61.8% vs 6.3% avg
-13%
Cost per patient vs peers
$12K vs $14K avg
+95%
Brand preference vs peers
28.5% vs 14.6% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
61.8%
Opioid Rate
76
Opioid Claims
$3,175
Opioid Cost
14.5%
Long-Acting Rate
This provider's opioid prescribing rate of 61.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 35 claims · $318K
Generic: 88 claims · $2,262
Patient Profile
68
Avg Age
52%
Female
1.87
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