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
157
Total Claims
$23K
Drug Cost
25
Beneficiaries
$906
Cost/Patient
Risk Score Breakdown 42/100
Score components are additive. Read full methodology
Peer Comparison vs. 775 Hematology providers
+1462%
Opioid rate vs peers
79.6% vs 5.1% avg
-95%
Cost per patient vs peers
$906 vs $18K avg
-37%
Brand preference vs peers
14.6% 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 1,462% 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
79.6%
Opioid Rate
125
Opioid Claims
$13K
Opioid Cost
55.2%
Long-Acting Rate
This provider's opioid prescribing rate of 79.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 23 claims · $15K
Generic: 134 claims · $7,666
Patient Profile
53
Avg Age
52%
Female
3.15
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