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
935
Total Claims
$679K
Drug Cost
136
Beneficiaries
$4,994
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 9,082 Pulmonary Disease providers
-3%
Cost per patient vs peers
$4,994 vs $5,138 avg
-86%
Brand preference vs peers
8.4% vs 61.4% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
10.1%
Opioid Rate
94
Opioid Claims
$1,958
Opioid Cost
18.1%
Long-Acting Rate
Brand vs Generic
Brand: 79 claims · $644K
Generic: 856 claims · $35K
Patient Profile
69
Avg Age
69%
Female
1.46
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