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
450
Total Claims
$87K
Drug Cost
113
Beneficiaries
$774
Cost/Patient
Risk Score Breakdown 35/100
Score components are additive. Read full methodology
Peer Comparison vs. 8,541 Hematology-Oncology providers
+665%
Opioid rate vs peers
48.0% vs 6.3% avg
-94%
Cost per patient vs peers
$774 vs $14K avg
+6%
Brand preference vs peers
15.6% vs 14.6% 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 665% above the average for Hematology-Oncology 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
48.0%
Opioid Rate
216
Opioid Claims
$11K
Opioid Cost
27.8%
Long-Acting Rate
This provider's opioid prescribing rate of 48.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 70 claims · $74K
Generic: 380 claims · $13K
Patient Profile
55
Avg Age
46%
Female
4.28
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