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
729
Total Claims
$67K
Drug Cost
119
Beneficiaries
$560
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 9,082 Pulmonary Disease providers
-89%
Cost per patient vs peers
$560 vs $5,138 avg
-83%
Brand preference vs peers
10.2% vs 61.4% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
60.1%
Opioid Rate
438
Opioid Claims
$36K
Opioid Cost
42.5%
Long-Acting Rate
This provider's opioid prescribing rate of 60.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 74 claims · $41K
Generic: 655 claims · $25K
Patient Profile
69
Avg Age
49%
Female
3.09
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