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
619
Total Claims
$742K
Drug Cost
82
Beneficiaries
$9,046
Cost/Patient
Risk Score Breakdown 30/100
Score components are additive. Read full methodology
Peer Comparison vs. 8,541 Hematology-Oncology providers
+490%
Opioid rate vs peers
37.0% vs 6.3% avg
-34%
Cost per patient vs peers
$9,046 vs $14K avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
🔎 Data Overview
Opioid rate is 490% above Hematology-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
37.0%
Opioid Rate
229
Opioid Claims
$59K
Opioid Cost
39.3%
Long-Acting Rate
This provider's opioid prescribing rate of 37.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 440 claims · $65K
Patient Profile
55
Avg Age
55%
Female
3.79
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