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
32,307
Total Claims
$2.5M
Drug Cost
622
Beneficiaries
$3,994
Cost/Patient
Risk Score Breakdown 17/100
Score components are additive. Read full methodology
Peer Comparison vs. 1,080 Hospice and Palliative Care providers
-92%
Opioid rate vs peers
2.7% vs 33.2% avg
+554%
Cost per patient vs peers
$3,994 vs $611 avg
+147%
Brand preference vs peers
16.6% vs 6.7% avg
🔎 Data Overview
Cost per patient is 554% above the specialty average. Extreme cost outliers may indicate prescribing of unnecessarily expensive brand-name drugs or inappropriate drug utilization.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
2.7%
Opioid Rate
887
Opioid Claims
$13K
Opioid Cost
5.7%
Long-Acting Rate
Brand vs Generic
Brand: 5,338 claims · $1.9M
Generic: 26,815 claims · $619K
Patient Profile
81
Avg Age
67%
Female
2.39
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