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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 →

John LumPA-C

Physician Assistant · Waterbury, CT 06708

NPI: 1528016441

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43

🟠 Elevated

Risk Flags

Very high opioid rate vs specialty peers95th percentile opioid prescribingHigh long-acting opioid rate vs peersElevated antipsychotic prescribing (65+)

Risk indicators are statistical patterns, not allegations. Learn more

4,781

Total Claims

$684K

Drug Cost

475

Beneficiaries

$1,440

Cost/Patient

Risk Score Breakdown 43/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate vs specialty peers+18
Opioid rate (national percentile)+10
Long-acting opioid rate+8
Elderly antipsychotic prescribing+5

Score components are additive. Read full methodology

Peer Comparison vs. 109,535 Physician Assistant providers

+625%

Opioid rate vs peers

66.6% vs 9.2% avg

+100%

Cost per patient vs peers

$1,440 vs $719 avg

+102%

Brand preference vs peers

13.4% vs 6.7% avg

⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.

Opioid Prescribing

66.6%

Opioid Rate

3,185

Opioid Claims

$582K

Opioid Cost

38.6%

Long-Acting Rate

This provider's opioid prescribing rate of 66.6% is above the 20% threshold that CMS considers elevated.

Brand vs Generic

87% generic

Brand: 641 claims · $406K

Generic: 4,140 claims · $277K

Patient Profile

68

Avg Age

62%

Female

1.64

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