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
110
Total Claims
$310K
Drug Cost
18
Beneficiaries
$17K
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 3,372 Medical Oncology providers
+552%
Opioid rate vs peers
38.2% vs 5.9% avg
+41%
Cost per patient vs peers
$17K vs $12K avg
+96%
Brand preference vs peers
26.4% vs 13.4% 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 552% above the average for Medical 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
38.2%
Opioid Rate
42
Opioid Claims
$5,590
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 38.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 29 claims · $278K
Generic: 81 claims · $32K
Patient Profile
44
Avg Age
—
Female
5.35
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