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
321
Total Claims
$347K
Drug Cost
37
Beneficiaries
$9,382
Cost/Patient
Risk Score Breakdown 38/100
Score components are additive. Read full methodology
Peer Comparison vs. 8,541 Hematology-Oncology providers
+754%
Opioid rate vs peers
53.6% vs 6.3% avg
-31%
Cost per patient vs peers
$9,382 vs $14K avg
-13%
Brand preference vs peers
12.8% 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 754% 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
53.6%
Opioid Rate
172
Opioid Claims
$25K
Opioid Cost
23.8%
Long-Acting Rate
This provider's opioid prescribing rate of 53.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 41 claims · $225K
Generic: 280 claims · $123K
Patient Profile
61
Avg Age
32%
Female
2.92
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