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
241
Total Claims
$7,604
Drug Cost
101
Beneficiaries
$75
Cost/Patient
Risk Score Breakdown 11/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+221%
Opioid rate vs peers
29.5% vs 9.2% avg
-90%
Cost per patient vs peers
$75 vs $719 avg
-13%
Brand preference vs peers
5.8% vs 6.7% avg
⚠️ Opioid + Benzodiazepine Co-Prescriber
This provider prescribes both opioids and benzodiazepines. The FDA has issued a Black Box Warning about the life-threatening risks of concurrent use.
🔎 Data Overview
Opioid rate is 221% above Physician Assistant peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
This provider co-prescribes opioids and benzodiazepines — a combination carrying an FDA Black Box Warning due to increased risk of respiratory depression and death. While sometimes clinically necessary, this combination requires careful justification.
Prescribes only 10 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
29.5%
Opioid Rate
71
Opioid Claims
$541
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 29.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 14 claims · $5,032
Generic: 227 claims · $2,572
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Ticagrelor | 11 | $4,974 |
| Clopidogrel Bisulfate | 23 | $255 |
| Methocarbamol | 29 | $230 |
| Gabapentin | 22 | $223 |
| Hydrocodone/Acetaminophen | 22 | $215 |
| Diclofenac Sodium | 13 | $205 |
| Oxycodone Hcl/Acetaminophen | 14 | $145 |
| Oxycodone Hcl | 18 | $118 |
| Tramadol Hcl | 15 | $46 |
| Diazepam | 15 | $11 |
Prescribing Profile
10
Unique Drugs
11.0
Anomaly Score
Patient Profile
71
Avg Age
63%
Female
1.64
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