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
180
Total Claims
$1,598
Drug Cost
141
Beneficiaries
$11
Cost/Patient
Risk Score Breakdown 6/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+166%
Opioid rate vs peers
24.4% vs 9.2% avg
-98%
Cost per patient vs peers
$11 vs $719 avg
🔎 Data Overview
Prescribes only 3 unique drugs with a 24.4% 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
24.4%
Opioid Rate
44
Opioid Claims
$162
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 24.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 173 claims · $1,499
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Cephalexin | 28 | $322 |
| Hydrocodone/Acetaminophen | 34 | $141 |
| Cyclobenzaprine Hcl | 15 | $48 |
Prescribing Profile
3
Unique Drugs
6.0
Anomaly Score
Patient Profile
70
Avg Age
60%
Female
1.29
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