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 →40
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
3,580
Total Claims
$5.2M
Drug Cost
196
Beneficiaries
$26K
Cost/Patient
Risk Score Breakdown 40/100
Score components are additive. Read full methodology
Peer Comparison vs. 8,541 Hematology-Oncology providers
+652%
Opioid rate vs peers
47.2% vs 6.3% avg
+93%
Cost per patient vs peers
$26K vs $14K avg
-4%
Brand preference vs peers
14.0% vs 14.6% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
47.2%
Opioid Rate
1,688
Opioid Claims
$55K
Opioid Cost
28.9%
Long-Acting Rate
This provider's opioid prescribing rate of 47.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 500 claims · $3.0M
Generic: 3,080 claims · $2.1M
Patient Profile
42
Avg Age
61%
Female
4.46
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