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
767
Total Claims
$21K
Drug Cost
282
Beneficiaries
$74
Cost/Patient
Risk Score Breakdown 15/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+374%
Opioid rate vs peers
43.5% vs 9.2% avg
-90%
Cost per patient vs peers
$74 vs $719 avg
+20%
Brand preference vs peers
8.0% vs 6.7% avg
Opioid Prescribing
43.5%
Opioid Rate
334
Opioid Claims
$2,699
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 43.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 61 claims · $15K
Generic: 706 claims · $5,675
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Rivaroxaban | 48 | $15K |
| Oxycodone Hcl | 202 | $1,654 |
| Methocarbamol | 92 | $1,048 |
| Hydrocodone/Acetaminophen | 35 | $508 |
| Celecoxib | 18 | $450 |
| Meloxicam | 60 | $302 |
| Hydromorphone Hcl | 39 | $275 |
| Cephalexin | 24 | $212 |
| Tramadol Hcl | 52 | $198 |
| Amoxicillin | 106 | $126 |
| Ondansetron Hcl | 15 | $110 |
| Clindamycin Hcl | 23 | $28 |
Prescribing Profile
Patient Profile
72
Avg Age
66%
Female
1.00
Avg Risk Score
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Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About