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
171
Total Claims
$56K
Drug Cost
20
Beneficiaries
$2,812
Cost/Patient
Risk Score Breakdown 42/100
Score components are additive. Read full methodology
Peer Comparison vs. 775 Hematology providers
+1243%
Opioid rate vs peers
68.4% vs 5.1% avg
-84%
Cost per patient vs peers
$2,812 vs $18K avg
+16%
Brand preference vs peers
26.9% vs 23.1% 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 1,243% above the average for Hematology 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
68.4%
Opioid Rate
117
Opioid Claims
$38K
Opioid Cost
51.3%
Long-Acting Rate
This provider's opioid prescribing rate of 68.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 46 claims · $49K
Generic: 125 claims · $7,602
Patient Profile
54
Avg Age
—
Female
4.69
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