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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 →

James HaynesMD

Pulmonary Disease · Nashville, TN 37203

NPI: 1104810274

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27

🟡 Moderate

Risk Flags

Very high opioid rate vs specialty peersHigh long-acting opioid rate vs peers

Risk indicators are statistical patterns, not allegations. Learn more

2,121

Total Claims

$1.5M

Drug Cost

329

Beneficiaries

$4,426

Cost/Patient

Risk Score Breakdown 27/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate vs specialty peers+18
Long-acting opioid rate+8

Score components are additive. Read full methodology

Peer Comparison vs. 9,082 Pulmonary Disease providers

-14%

Cost per patient vs peers

$4,426 vs $5,138 avg

-83%

Brand preference vs peers

10.2% vs 61.4% avg

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

Opioid Prescribing

6.5%

Opioid Rate

138

Opioid Claims

$1,577

Opioid Cost

31.9%

Long-Acting Rate

Brand vs Generic

90% generic

Brand: 216 claims · $1.4M

Generic: 1,905 claims · $48K

Patient Profile

72

Avg Age

49%

Female

1.31

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