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
773
Total Claims
$1.4M
Drug Cost
102
Beneficiaries
$14K
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 8,541 Hematology-Oncology providers
+609%
Opioid rate vs peers
44.5% vs 6.3% avg
+1%
Cost per patient vs peers
$14K vs $14K avg
+24%
Brand preference vs peers
18.1% vs 14.6% 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 609% above the average for Hematology-Oncology 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
44.5%
Opioid Rate
344
Opioid Claims
$22K
Opioid Cost
32.3%
Long-Acting Rate
This provider's opioid prescribing rate of 44.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 140 claims · $1.3M
Generic: 633 claims · $108K
Patient Profile
70
Avg Age
60%
Female
3.11
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