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
770
Total Claims
$53K
Drug Cost
58
Beneficiaries
$915
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 16,767 Hospitalist providers
+1172%
Opioid rate vs peers
38.1% vs 3.0% avg
+114%
Cost per patient vs peers
$915 vs $427 avg
-16%
Brand preference vs peers
4.4% vs 5.2% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
38.1%
Opioid Rate
293
Opioid Claims
$23K
Opioid Cost
41.6%
Long-Acting Rate
This provider's opioid prescribing rate of 38.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 34 claims · $31K
Generic: 736 claims · $22K
Patient Profile
66
Avg Age
57%
Female
3.31
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