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
160
Total Claims
$15K
Drug Cost
46
Beneficiaries
$337
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 9,082 Pulmonary Disease providers
-93%
Cost per patient vs peers
$337 vs $5,138 avg
-82%
Brand preference vs peers
11.3% vs 61.4% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
23.1%
Opioid Rate
37
Opioid Claims
$3,750
Opioid Cost
35.1%
Long-Acting Rate
This provider's opioid prescribing rate of 23.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 18 claims · $9,192
Generic: 142 claims · $6,290
Patient Profile
63
Avg Age
52%
Female
3.67
Avg Risk Score
Explore More
Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About