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
429
Total Claims
$173K
Drug Cost
86
Beneficiaries
$2,013
Cost/Patient
Risk Score Breakdown 32/100
Score components are additive. Read full methodology
Peer Comparison vs. 775 Hematology providers
+847%
Opioid rate vs peers
48.3% vs 5.1% avg
-89%
Cost per patient vs peers
$2,013 vs $18K avg
+17%
Brand preference vs peers
27.0% 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 847% 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
48.3%
Opioid Rate
207
Opioid Claims
$12K
Opioid Cost
43.0%
Long-Acting Rate
This provider's opioid prescribing rate of 48.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 116 claims · $139K
Generic: 313 claims · $35K
Patient Profile
59
Avg Age
55%
Female
3.45
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