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
285
Total Claims
$29K
Drug Cost
37
Beneficiaries
$782
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 3,372 Medical Oncology providers
+781%
Opioid rate vs peers
51.6% vs 5.9% avg
-94%
Cost per patient vs peers
$782 vs $12K avg
-43%
Brand preference vs peers
7.7% vs 13.4% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
51.6%
Opioid Rate
147
Opioid Claims
$24K
Opioid Cost
52.4%
Long-Acting Rate
This provider's opioid prescribing rate of 51.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 22 claims · $5,265
Generic: 263 claims · $24K
Patient Profile
65
Avg Age
57%
Female
2.93
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