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
3,115
Total Claims
$203K
Drug Cost
339
Beneficiaries
$598
Cost/Patient
Risk Score Breakdown 45/100
Score components are additive. Read full methodology
Peer Comparison vs. 16,767 Hospitalist providers
+1993%
Opioid rate vs peers
62.6% vs 3.0% avg
+40%
Cost per patient vs peers
$598 vs $427 avg
+83%
Brand preference vs peers
9.6% 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 1,993% 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
62.6%
Opioid Rate
1,950
Opioid Claims
$155K
Opioid Cost
28.9%
Long-Acting Rate
This provider's opioid prescribing rate of 62.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 299 claims · $115K
Generic: 2,816 claims · $88K
Patient Profile
70
Avg Age
56%
Female
3.02
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