⚠️

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 BulgerM.D.

Family Practice · Mishawaka, IN 46544

NPI: 1821123035

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31

🟠 Elevated

Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

5,888

Total Claims

$534K

Drug Cost

570

Beneficiaries

$936

Cost/Patient

Risk Score Breakdown 31/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate vs specialty peers+18
Elderly antipsychotic prescribing+5
Long-acting opioid rate+4

Score components are additive. Read full methodology

Peer Comparison vs. 106,889 Family Practice providers

+536%

Opioid rate vs peers

16.4% vs 2.6% avg

-12%

Cost per patient vs peers

$936 vs $1,068 avg

+14%

Brand preference vs peers

10.2% vs 9.0% avg

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

Opioid Prescribing

16.4%

Opioid Rate

965

Opioid Claims

$100K

Opioid Cost

22.8%

Long-Acting Rate

Brand vs Generic

90% generic

Brand: 600 claims · $382K

Generic: 5,261 claims · $150K

Patient Profile

70

Avg Age

55%

Female

1.19

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