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
611
Total Claims
$162K
Drug Cost
76
Beneficiaries
$2,132
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 9,082 Pulmonary Disease providers
-59%
Cost per patient vs peers
$2,132 vs $5,138 avg
-80%
Brand preference vs peers
12.3% vs 61.4% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
20.1%
Opioid Rate
123
Opioid Claims
$1,707
Opioid Cost
69.1%
Long-Acting Rate
This provider's opioid prescribing rate of 20.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 75 claims · $144K
Generic: 536 claims · $18K
Patient Profile
70
Avg Age
53%
Female
1.42
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