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
1,137
Total Claims
$67K
Drug Cost
249
Beneficiaries
$268
Cost/Patient
Risk Score Breakdown 53/100
Score components are additive. Read full methodology
Peer Comparison vs. 9,082 Pulmonary Disease providers
-95%
Cost per patient vs peers
$268 vs $5,138 avg
-88%
Brand preference vs peers
7.3% vs 61.4% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
68.2%
Opioid Rate
776
Opioid Claims
$59K
Opioid Cost
37.5%
Long-Acting Rate
This provider's opioid prescribing rate of 68.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 83 claims · $28K
Generic: 1,054 claims · $39K
Patient Profile
75
Avg Age
57%
Female
2.96
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