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
588
Total Claims
$454K
Drug Cost
46
Beneficiaries
$9,874
Cost/Patient
Risk Score Breakdown 35/100
Score components are additive. Read full methodology
Peer Comparison vs. 775 Hematology providers
+938%
Opioid rate vs peers
52.9% vs 5.1% avg
-45%
Cost per patient vs peers
$9,874 vs $18K avg
+12%
Brand preference vs peers
26.0% vs 23.1% 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 938% 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
52.9%
Opioid Rate
311
Opioid Claims
$52K
Opioid Cost
43.4%
Long-Acting Rate
This provider's opioid prescribing rate of 52.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 153 claims · $430K
Generic: 435 claims · $24K
Patient Profile
47
Avg Age
67%
Female
4.86
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