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
198
Total Claims
$24K
Drug Cost
71
Beneficiaries
$338
Cost/Patient
Risk Score Breakdown 39/100
Score components are additive. Read full methodology
Peer Comparison vs. 16,767 Hospitalist providers
+1943%
Opioid rate vs peers
61.1% vs 3.0% avg
-21%
Cost per patient vs peers
$338 vs $427 avg
+73%
Brand preference vs peers
9.1% vs 5.2% 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 1,943% above the average for Hospitalist 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
61.1%
Opioid Rate
121
Opioid Claims
$21K
Opioid Cost
57.0%
Long-Acting Rate
This provider's opioid prescribing rate of 61.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 18 claims · $14K
Generic: 180 claims · $9,750
Patient Profile
69
Avg Age
65%
Female
3.39
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