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
578
Total Claims
$383K
Drug Cost
88
Beneficiaries
$4,351
Cost/Patient
Risk Score Breakdown 30/100
Score components are additive. Read full methodology
Peer Comparison vs. 8,541 Hematology-Oncology providers
+617%
Opioid rate vs peers
45.0% vs 6.3% avg
-68%
Cost per patient vs peers
$4,351 vs $14K avg
+170%
Brand preference vs peers
39.4% vs 14.6% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
45.0%
Opioid Rate
260
Opioid Claims
$11K
Opioid Cost
19.6%
Long-Acting Rate
This provider's opioid prescribing rate of 45.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 228 claims · $245K
Generic: 350 claims · $138K
Patient Profile
60
Avg Age
61%
Female
3.08
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