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
63
Total Claims
$6,346
Drug Cost
24
Beneficiaries
$264
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 16,767 Hospitalist providers
+855%
Opioid rate vs peers
28.6% vs 3.0% avg
-38%
Cost per patient vs peers
$264 vs $427 avg
+233%
Brand preference vs peers
17.5% vs 5.2% 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 855% above the average for Hospitalist 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
28.6%
Opioid Rate
18
Opioid Claims
$539
Opioid Cost
100.0%
Long-Acting Rate
This provider's opioid prescribing rate of 28.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 11 claims · $5,216
Generic: 52 claims · $1,130
Patient Profile
71
Avg Age
54%
Female
1.25
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