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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 →

Thomas KosztowskiMD

Neurosurgery · Plano, TX 75093

NPI: 1003041336

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3

🟢 Low

Risk Flags

Low drug diversity

Risk indicators are statistical patterns, not allegations. Learn more

424

Total Claims

$6,841

Drug Cost

148

Beneficiaries

$46

Cost/Patient

Risk Score Breakdown 3/100

Low (0)Moderate (15)Elevated (30)High (50+)
Low drug diversity+3

Score components are additive. Read full methodology

Peer Comparison vs. 2,419 Neurosurgery providers

-52%

Opioid rate vs peers

13.0% vs 27.0% avg

-72%

Cost per patient vs peers

$46 vs $166 avg

🔎 Data Overview

📊

Prescribes only 7 unique drugs, which is unusually low. Most providers prescribe 30+ different medications. Narrow prescribing patterns deserve context about the provider's practice scope.

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

Opioid Prescribing

13.0%

Opioid Rate

55

Opioid Claims

$1,011

Opioid Cost

Long-Acting Rate

Brand vs Generic

100% generic

Brand: 0 claims · $0

Generic: 418 claims · $4,538

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Gabapentin126$1,560
Cyclobenzaprine Hcl68$632
Hydrocodone/Acetaminophen21$632
Meloxicam100$535
Methylprednisolone28$215
Oxycodone Hcl20$196
Methocarbamol15$152

Prescribing Profile

7

Unique Drugs

3.0

Anomaly Score

Patient Profile

73

Avg Age

59%

Female

1.30

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