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
278
Total Claims
$273K
Drug Cost
77
Beneficiaries
$3,541
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 3,372 Medical Oncology providers
+527%
Opioid rate vs peers
36.7% vs 5.9% avg
-71%
Cost per patient vs peers
$3,541 vs $12K 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 527% above the average for Medical 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
36.7%
Opioid Rate
102
Opioid Claims
$8,319
Opioid Cost
50.0%
Long-Acting Rate
This provider's opioid prescribing rate of 36.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 247 claims · $12K
Patient Profile
70
Avg Age
73%
Female
2.20
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