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 →19
🟡 Moderate
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
174
Total Claims
$9,336
Drug Cost
89
Beneficiaries
$105
Cost/Patient
Risk Score Breakdown 19/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+388%
Opioid rate vs peers
44.8% vs 9.2% avg
-85%
Cost per patient vs peers
$105 vs $719 avg
+21%
Brand preference vs peers
8.0% vs 6.7% avg
Opioid Prescribing
44.8%
Opioid Rate
78
Opioid Claims
$573
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 44.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 14 claims · $7,558
Generic: 160 claims · $1,778
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Celecoxib | 20 | $785 |
| Oxycodone Hcl | 42 | $314 |
| Oxycodone Hcl/Acetaminophen | 15 | $152 |
| Tramadol Hcl | 19 | $91 |
| Pantoprazole Sodium | 15 | $83 |
Prescribing Profile
5
Unique Drugs
19.0
Anomaly Score
Patient Profile
72
Avg Age
70%
Female
1.02
Avg Risk Score
Explore More
Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About