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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 →

Joshua LukenbillD.O.

Hematology-Oncology · Des Moines, IA 50309

NPI: 1003089814

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14

🟢 Low

Risk Flags

Elevated cost per beneficiaryHigh antipsychotic prescribing (65+)

Risk indicators are statistical patterns, not allegations. Learn more

2,266

Total Claims

$6.9M

Drug Cost

339

Beneficiaries

$20K

Cost/Patient

Risk Score Breakdown 14/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Cost per patient outlier+3

Score components are additive. Read full methodology

Peer Comparison vs. 8,541 Hematology-Oncology providers

-39%

Opioid rate vs peers

3.8% vs 6.3% avg

+50%

Cost per patient vs peers

$20K vs $14K avg

Opioid Prescribing

3.8%

Opioid Rate

87

Opioid Claims

$1,816

Opioid Cost

21.8%

Long-Acting Rate

Brand vs Generic

100% generic

Brand: 0 claims · $0

Generic: 1,691 claims · $360K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apalutamide82$1.3M
Acalabrutinib Maleate73$1.1M
Lenalidomide33$723K
Ibrutinib34$515K
Cabozantinib S-Malate14$375K
Dasatinib27$347K
Ruxolitinib Phosphate21$330K
Pomalidomide12$275K
Niraparib Tosylate13$252K
Lenalidomide13$206K
Fedratinib Dihydrochloride12$158K
Sunitinib Malate14$88K
Apixaban85$54K
Rivaroxaban22$14K
Imatinib Mesylate19$4,004

Prescribing Profile

46

Unique Drugs

$583K

IRA Negotiated Drugs

14.0

Anomaly Score

Patient Profile

73

Avg Age

59%

Female

2.18

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 of wrongdoing.Methodology · About · Dispute this data