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
969
Total Claims
$148K
Drug Cost
90
Beneficiaries
$1,642
Cost/Patient
Risk Score Breakdown 40/100
Score components are additive. Read full methodology
Peer Comparison vs. 775 Hematology providers
+1405%
Opioid rate vs peers
76.7% vs 5.1% avg
-91%
Cost per patient vs peers
$1,642 vs $18K 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 1,405% above the average for Hematology 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
76.7%
Opioid Rate
743
Opioid Claims
$24K
Opioid Cost
26.4%
Long-Acting Rate
This provider's opioid prescribing rate of 76.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 880 claims · $52K
Patient Profile
44
Avg Age
58%
Female
4.72
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