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
94
Total Claims
$2,867
Drug Cost
52
Beneficiaries
$55
Cost/Patient
Risk Score Breakdown 10/100
Score components are additive. Read full methodology
Peer Comparison vs. 3,327 Radiation Oncology providers
+262%
Opioid rate vs peers
34.0% vs 9.4% avg
-75%
Cost per patient vs peers
$55 vs $224 avg
🔎 Data Overview
Opioid rate is 262% above Radiation Oncology peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
Prescribes only 1 unique drugs with a 34.0% opioid rate. Very low drug diversity combined with high opioid prescribing is a classic statistical marker of potential pill mill operations. However, some legitimate practices (e.g., addiction treatment with buprenorphine) can show similar patterns.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
34.0%
Opioid Rate
32
Opioid Claims
$1,528
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 34.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 87 claims · $2,238
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Hcl/Acetaminophen | 13 | $391 |
Prescribing Profile
1
Unique Drugs
10.0
Anomaly Score
Patient Profile
73
Avg Age
62%
Female
2.01
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 of wrongdoing.Methodology · About · Dispute this data