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
138
Total Claims
$13K
Drug Cost
30
Beneficiaries
$420
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 9,082 Pulmonary Disease providers
-92%
Cost per patient vs peers
$420 vs $5,138 avg
-63%
Brand preference vs peers
22.5% vs 61.4% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
34.8%
Opioid Rate
48
Opioid Claims
$2,414
Opioid Cost
47.9%
Long-Acting Rate
This provider's opioid prescribing rate of 34.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 31 claims · $6,051
Generic: 107 claims · $6,535
Patient Profile
78
Avg Age
63%
Female
3.25
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