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
83
Total Claims
$814
Drug Cost
43
Beneficiaries
$19
Cost/Patient
Risk Score Breakdown 5/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+346%
Opioid rate vs peers
41.0% vs 9.2% avg
-97%
Cost per patient vs peers
$19 vs $719 avg
🔎 Data Overview
Opioid rate is 346% above Physician Assistant peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
Prescribes only 1 unique drugs with a 41.0% opioid rate. Very low drug diversity combined with high opioid prescribing is a classic statistical marker of potential pill mill operations. However, some legitimate practices (e.g., addiction treatment with buprenorphine) can show similar patterns.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
41.0%
Opioid Rate
34
Opioid Claims
$221
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 41.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 78 claims · $662
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Hcl | 18 | $132 |
Prescribing Profile
1
Unique Drugs
5.0
Anomaly Score
Patient Profile
69
Avg Age
58%
Female
1.61
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