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 →223
Total Claims
$5,418
Drug Cost
54
Beneficiaries
$100
Cost/Patient
Risk Score Breakdown 3/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+110%
Opioid rate vs peers
19.3% vs 9.2% avg
-86%
Cost per patient vs peers
$100 vs $719 avg
-12%
Brand preference vs peers
5.8% vs 6.7% avg
Opioid Prescribing
19.3%
Opioid Rate
43
Opioid Claims
$239
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 13 claims · $3,874
Generic: 210 claims · $1,544
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Hcl | 31 | $166 |
| Clopidogrel Bisulfate | 17 | $117 |
| Pantoprazole Sodium | 21 | $108 |
| Potassium Chloride | 28 | $87 |
| Metoprolol Tartrate | 21 | $74 |
| Furosemide | 26 | $31 |
Prescribing Profile
6
Unique Drugs
3.0
Anomaly Score
Patient Profile
69
Avg Age
33%
Female
1.14
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