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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 →

Christian KirmanM.D.

Plastic and Reconstructive Surgery · Concord, CA 94520

NPI: 1003090267

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5

🟢 Low

Risk Flags

90th percentile opioid prescribing

Risk indicators are statistical patterns, not allegations. Learn more

60

Total Claims

$679

Drug Cost

45

Beneficiaries

$15

Cost/Patient

Risk Score Breakdown 5/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate (national percentile)+5

Score components are additive. Read full methodology

Peer Comparison vs. 2,293 Plastic and Reconstructive Surgery providers

+81%

Opioid rate vs peers

46.7% vs 25.8% avg

-85%

Cost per patient vs peers

$15 vs $102 avg

🔎 Data Overview

🔍

Prescribes only 2 unique drugs with a 46.7% 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

46.7%

Opioid Rate

28

Opioid Claims

$122

Opioid Cost

Long-Acting Rate

This provider's opioid prescribing rate of 46.7% is above the 20% threshold that CMS considers elevated.

Brand vs Generic

100% generic

Brand: 0 claims · $0

Generic: 58 claims · $382

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Cephalexin18$112
Tramadol Hcl15$39

Prescribing Profile

2

Unique Drugs

5.0

Anomaly Score

Patient Profile

67

Avg Age

Female

1.13

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