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
520
Total Claims
$13K
Drug Cost
150
Beneficiaries
$84
Cost/Patient
Risk Score Breakdown 18/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+396%
Opioid rate vs peers
45.6% vs 9.2% avg
-88%
Cost per patient vs peers
$84 vs $719 avg
Opioid Prescribing
45.6%
Opioid Rate
237
Opioid Claims
$1,716
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 45.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 511 claims · $8,079
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Naloxone Hcl | 56 | $4,327 |
| Hydrocodone/Acetaminophen | 152 | $1,442 |
| Celecoxib | 41 | $740 |
| Cyclobenzaprine Hcl | 75 | $376 |
| Methocarbamol | 33 | $286 |
| Oxycodone Hcl | 55 | $175 |
| Gabapentin | 17 | $174 |
| Tramadol Hcl | 27 | $67 |
Prescribing Profile
8
Unique Drugs
18.0
Anomaly Score
Patient Profile
72
Avg Age
58%
Female
1.14
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