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
125
Total Claims
$12K
Drug Cost
54
Beneficiaries
$230
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 9,082 Pulmonary Disease providers
-96%
Cost per patient vs peers
$230 vs $5,138 avg
-69%
Brand preference vs peers
19.2% vs 61.4% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
23.2%
Opioid Rate
29
Opioid Claims
$2,035
Opioid Cost
48.3%
Long-Acting Rate
This provider's opioid prescribing rate of 23.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 24 claims · $7,238
Generic: 101 claims · $5,166
Patient Profile
71
Avg Age
56%
Female
1.24
Avg Risk Score
Explore More
Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About