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
274
Total Claims
$3,458
Drug Cost
159
Beneficiaries
$22
Cost/Patient
Risk Score Breakdown 26/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+452%
Opioid rate vs peers
50.7% vs 9.2% avg
-97%
Cost per patient vs peers
$22 vs $719 avg
🔎 Data Overview
Opioid rate is 452% above Physician Assistant peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
Prescribes only 4 unique drugs with a 50.7% 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
50.7%
Opioid Rate
139
Opioid Claims
$899
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 50.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 266 claims · $2,930
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Hydrocodone/Acetaminophen | 134 | $890 |
| Ondansetron | 48 | $555 |
| Nifedipine | 20 | $276 |
| Pantoprazole Sodium | 11 | $174 |
Prescribing Profile
4
Unique Drugs
26.0
Anomaly Score
Patient Profile
68
Avg Age
65%
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