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
5,905
Total Claims
$251K
Drug Cost
390
Beneficiaries
$644
Cost/Patient
Risk Score Breakdown 35/100
Score components are additive. Read full methodology
Peer Comparison vs. 16,767 Hospitalist providers
+1445%
Opioid rate vs peers
46.2% vs 3.0% avg
+51%
Cost per patient vs peers
$644 vs $427 avg
-44%
Brand preference vs peers
2.9% 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 1,445% 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
46.2%
Opioid Rate
2,729
Opioid Claims
$168K
Opioid Cost
8.5%
Long-Acting Rate
This provider's opioid prescribing rate of 46.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 173 claims · $115K
Generic: 5,732 claims · $136K
Patient Profile
70
Avg Age
62%
Female
1.51
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