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
605
Total Claims
$8,381
Drug Cost
200
Beneficiaries
$42
Cost/Patient
Risk Score Breakdown 8/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+261%
Opioid rate vs peers
33.2% vs 9.2% avg
-94%
Cost per patient vs peers
$42 vs $719 avg
🔎 Data Overview
Opioid rate is 261% above Physician Assistant peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
Prescribes only 9 unique drugs, which is unusually low. Most providers prescribe 30+ different medications. Narrow prescribing patterns deserve context about the provider's practice scope.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
33.2%
Opioid Rate
201
Opioid Claims
$2,033
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 33.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 602 claims · $8,070
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Celecoxib | 126 | $3,546 |
| Tramadol Hcl/Acetaminophen | 152 | $1,615 |
| Enoxaparin Sodium | 11 | $1,123 |
| Meloxicam | 121 | $503 |
| Acetaminophen With Codeine | 48 | $417 |
| Pregabalin | 69 | $379 |
| Methylprednisolone | 24 | $236 |
| Sulfamethoxazole/Trimethoprim | 12 | $78 |
| Carisoprodol | 17 | $55 |
Prescribing Profile
9
Unique Drugs
8.0
Anomaly Score
Patient Profile
71
Avg Age
62%
Female
1.11
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