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
256
Total Claims
$55K
Drug Cost
73
Beneficiaries
$748
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 9,082 Pulmonary Disease providers
-85%
Cost per patient vs peers
$748 vs $5,138 avg
-27%
Brand preference vs peers
44.9% vs 61.4% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
29.7%
Opioid Rate
76
Opioid Claims
$1,323
Opioid Cost
40.8%
Long-Acting Rate
This provider's opioid prescribing rate of 29.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 115 claims · $51K
Generic: 141 claims · $3,331
Patient Profile
71
Avg Age
55%
Female
2.12
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