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 →🚫 This provider appears on the OIG List of Excluded Individuals/Entities (LEIE)
Exclusion type: 1128b4 · Date: 20250520 · State: SC
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
825
Total Claims
$208K
Drug Cost
248
Beneficiaries
$838
Cost/Patient
Risk Score Breakdown 20/100
Score components are additive. Read full methodology
Peer Comparison vs. 9,082 Pulmonary Disease providers
-84%
Cost per patient vs peers
$838 vs $5,138 avg
-33%
Brand preference vs peers
41.2% vs 61.4% avg
Brand vs Generic
Brand: 340 claims · $188K
Generic: 485 claims · $20K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Fluticasone/Umeclidin/Vilanter | 53 | $45K |
| Fluticasone/Vilanterol | 62 | $33K |
| Budesonide/Formoterol Fumarate | 40 | $24K |
| Budesonide/Glycopyr/Formoterol | 29 | $24K |
| Tiotropium Bromide | 29 | $17K |
| Fluticasone Propion/Salmeterol | 16 | $8,269 |
| Fluticasone Propion/Salmeterol | 15 | $5,388 |
| Fluticasone Propion/Salmeterol | 21 | $4,192 |
| Albuterol Sulfate | 63 | $2,458 |
| Theophylline Anhydrous | 14 | $1,959 |
| Albuterol Sulfate | 11 | $702 |
| Azithromycin | 16 | $566 |
| Amoxicillin | 84 | $476 |
| Ciprofloxacin Hcl | 41 | $364 |
| Prednisone | 104 | $347 |
Prescribing Profile
16
Unique Drugs
20.0
Anomaly Score
Patient Profile
72
Avg Age
55%
Female
1.52
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