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
751
Total Claims
$27K
Drug Cost
145
Beneficiaries
$185
Cost/Patient
Risk Score Breakdown 9/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+358%
Opioid rate vs peers
42.1% vs 9.2% avg
-74%
Cost per patient vs peers
$185 vs $719 avg
-64%
Brand preference vs peers
2.4% vs 6.7% avg
🔎 Data Overview
Opioid rate is 358% above Physician Assistant peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
42.1%
Opioid Rate
316
Opioid Claims
$15K
Opioid Cost
15.2%
Long-Acting Rate
This provider's opioid prescribing rate of 42.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 18 claims · $5,601
Generic: 733 claims · $21K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Hydrocodone/Acetaminophen | 174 | $5,280 |
| Pregabalin | 75 | $3,215 |
| Gabapentin | 61 | $1,501 |
| Morphine Sulfate | 29 | $1,397 |
| Celecoxib | 15 | $1,170 |
| Naloxone Hcl | 13 | $1,159 |
| Oxycodone Hcl/Acetaminophen | 30 | $1,142 |
| Diclofenac Sodium | 31 | $814 |
| Cyclobenzaprine Hcl | 47 | $614 |
| Oxycodone Hcl | 26 | $440 |
| Tramadol Hcl | 29 | $436 |
| Tizanidine Hcl | 32 | $377 |
| Meloxicam | 27 | $335 |
| Baclofen | 27 | $268 |
| Naproxen | 19 | $155 |
Prescribing Profile
18
Unique Drugs
9.0
Anomaly Score
Patient Profile
65
Avg Age
60%
Female
1.13
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