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
364
Total Claims
$13K
Drug Cost
78
Beneficiaries
$170
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 16,767 Hospitalist providers
+1967%
Opioid rate vs peers
61.8% vs 3.0% avg
-60%
Cost per patient vs peers
$170 vs $427 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
61.8%
Opioid Rate
225
Opioid Claims
$9,480
Opioid Cost
32.0%
Long-Acting Rate
This provider's opioid prescribing rate of 61.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 355 claims · $10K
Patient Profile
72
Avg Age
58%
Female
2.83
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