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
162
Total Claims
$8,007
Drug Cost
78
Beneficiaries
$103
Cost/Patient
Risk Score Breakdown 9/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+323%
Opioid rate vs peers
38.9% vs 9.2% avg
-86%
Cost per patient vs peers
$103 vs $719 avg
🔎 Data Overview
Opioid rate is 323% above Physician Assistant peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
Prescribes only 3 unique drugs with a 38.9% 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
38.9%
Opioid Rate
63
Opioid Claims
$192
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 38.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 152 claims · $1,448
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Ondansetron | 50 | $349 |
| Oxycodone Hcl | 32 | $129 |
| Tramadol Hcl | 25 | $44 |
Prescribing Profile
3
Unique Drugs
9.0
Anomaly Score
Patient Profile
73
Avg Age
54%
Female
1.32
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