⚠️

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 →

Hoke ShirleyMD

Rheumatology · Concord, NH 03301

NPI: 1962432047

Share:

33

🟠 Elevated

Risk Flags

Very high opioid rate vs specialty peersElevated cost per beneficiaryHigh long-acting opioid rate vs peers

Risk indicators are statistical patterns, not allegations. Learn more

7,026

Total Claims

$4.1M

Drug Cost

708

Beneficiaries

$5,826

Cost/Patient

Risk Score Breakdown 33/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate vs specialty peers+18
Long-acting opioid rate+8
Cost per patient outlier+3

Score components are additive. Read full methodology

Peer Comparison vs. 5,101 Rheumatology providers

+435%

Opioid rate vs peers

21.7% vs 4.1% avg

-4%

Cost per patient vs peers

$5,826 vs $6,039 avg

+47%

Brand preference vs peers

11.2% vs 7.6% avg

⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.

🔎 Data Overview

💊

Opioid rate is 435% above Rheumatology peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.

Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.

Opioid Prescribing

21.7%

Opioid Rate

1,527

Opioid Claims

$129K

Opioid Cost

27.2%

Long-Acting Rate

This provider's opioid prescribing rate of 21.7% is above the 20% threshold that CMS considers elevated.

Brand vs Generic

89% generic

Brand: 783 claims · $3.9M

Generic: 6,225 claims · $242K

Patient Profile

73

Avg Age

70%

Female

1.21

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