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
735
Total Claims
$710K
Drug Cost
134
Beneficiaries
$5,297
Cost/Patient
Risk Score Breakdown 14/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
-54%
Opioid rate vs peers
4.2% vs 9.2% avg
+637%
Cost per patient vs peers
$5,297 vs $719 avg
🔎 Data Overview
Cost per patient is 637% above the specialty average. Extreme cost outliers may indicate prescribing of unnecessarily expensive brand-name drugs or inappropriate drug utilization.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
4.2%
Opioid Rate
31
Opioid Claims
$811
Opioid Cost
41.9%
Long-Acting Rate
Brand vs Generic
Brand: 0 claims · $0
Generic: 610 claims · $20K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Adalimumab | 12 | $179K |
| Adalimumab | 15 | $134K |
| Tocilizumab | 15 | $97K |
| Golimumab | 13 | $89K |
| Ixekizumab | 12 | $67K |
| Hydroxychloroquine Sulfate | 100 | $5,847 |
| Mycophenolate Mofetil | 20 | $2,741 |
| Methotrexate Sodium | 76 | $2,424 |
| Pilocarpine Hcl | 13 | $1,281 |
| Diclofenac Sodium | 13 | $1,266 |
| Nabumetone | 34 | $808 |
| Sulfasalazine | 20 | $744 |
| Prednisone | 91 | $642 |
| Leflunomide | 25 | $607 |
| Tramadol Hcl | 11 | $593 |
Prescribing Profile
21
Unique Drugs
14.0
Anomaly Score
Patient Profile
71
Avg Age
77%
Female
1.83
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