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
4,210
Total Claims
$4.3M
Drug Cost
239
Beneficiaries
$18K
Cost/Patient
Risk Score Breakdown 44/100
Score components are additive. Read full methodology
Peer Comparison vs. 775 Hematology providers
+997%
Opioid rate vs peers
55.9% vs 5.1% avg
+1%
Cost per patient vs peers
$18K vs $18K 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 997% above the average for Hematology 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
55.9%
Opioid Rate
2,354
Opioid Claims
$67K
Opioid Cost
33.9%
Long-Acting Rate
This provider's opioid prescribing rate of 55.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 3,127 claims · $262K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Ibrutinib | 59 | $926K |
| Lenalidomide | 46 | $875K |
| Eltrombopag Olamine | 38 | $640K |
| Avatrombopag Maleate | 21 | $350K |
| Deferasirox | 12 | $300K |
| Voxelotor | 27 | $247K |
| Thalidomide | 11 | $115K |
| Rivaroxaban | 120 | $90K |
| Apixaban | 122 | $88K |
| Peginterferon Alfa-2a | 12 | $54K |
| Deferasirox | 80 | $53K |
| Oxycodone Hcl | 20 | $22K |
| Morphine Sulfate | 448 | $12K |
| Hydroxyurea | 153 | $8,405 |
| Morphine Sulfate | 384 | $8,264 |
Prescribing Profile
Patient Profile
54
Avg Age
58%
Female
3.73
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