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
1,277
Total Claims
$663K
Drug Cost
132
Beneficiaries
$5,023
Cost/Patient
Risk Score Breakdown 42/100
Score components are additive. Read full methodology
Peer Comparison vs. 775 Hematology providers
+1209%
Opioid rate vs peers
66.7% vs 5.1% avg
-72%
Cost per patient vs peers
$5,023 vs $18K avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
66.7%
Opioid Rate
852
Opioid Claims
$19K
Opioid Cost
38.1%
Long-Acting Rate
This provider's opioid prescribing rate of 66.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 1,080 claims · $49K
Patient Profile
47
Avg Age
63%
Female
4.61
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