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 →322
Total Claims
$5,214
Drug Cost
190
Beneficiaries
$27
Cost/Patient
Risk Score Breakdown 3/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+133%
Opioid rate vs peers
21.4% vs 9.2% avg
-96%
Cost per patient vs peers
$27 vs $719 avg
🔎 Data Overview
Prescribes only 8 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
21.4%
Opioid Rate
69
Opioid Claims
$270
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 21.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 311 claims · $3,606
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Prednisone | 45 | $488 |
| Doxycycline Hyclate | 15 | $243 |
| Hydrocodone/Acetaminophen | 26 | $129 |
| Cephalexin | 16 | $116 |
| Diclofenac Sodium | 18 | $113 |
| Oxycodone Hcl/Acetaminophen | 20 | $92 |
| Tramadol Hcl | 23 | $49 |
| Cyclobenzaprine Hcl | 14 | $47 |
Prescribing Profile
8
Unique Drugs
3.0
Anomaly Score
Patient Profile
66
Avg Age
60%
Female
1.70
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