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
126
Total Claims
$4,235
Drug Cost
88
Beneficiaries
$48
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 9,082 Pulmonary Disease providers
-99%
Cost per patient vs peers
$48 vs $5,138 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
66.7%
Opioid Rate
84
Opioid Claims
$268
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 66.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 125 claims · $3,574
Patient Profile
72
Avg Age
36%
Female
1.31
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