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
753
Total Claims
$18K
Drug Cost
359
Beneficiaries
$49
Cost/Patient
Risk Score Breakdown 30/100
Score components are additive. Read full methodology
Peer Comparison vs. 9,082 Pulmonary Disease providers
-99%
Cost per patient vs peers
$49 vs $5,138 avg
-93%
Brand preference vs peers
4.5% vs 61.4% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
40.9%
Opioid Rate
308
Opioid Claims
$3,438
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 40.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 34 claims · $8,863
Generic: 719 claims · $8,663
Patient Profile
74
Avg Age
60%
Female
0.94
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