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
1,825
Total Claims
$2.6M
Drug Cost
514
Beneficiaries
$5,127
Cost/Patient
Risk Score Breakdown 6/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
-45%
Opioid rate vs peers
5.0% vs 9.2% avg
+613%
Cost per patient vs peers
$5,127 vs $719 avg
🔎 Data Overview
Cost per patient is 613% above the specialty average. Extreme cost outliers may indicate prescribing of unnecessarily expensive brand-name drugs or inappropriate drug utilization.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
5.0%
Opioid Rate
92
Opioid Claims
$2,917
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 0 claims · $0
Generic: 1,389 claims · $67K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Adalimumab | 67 | $674K |
| Upadacitinib | 91 | $583K |
| Etanercept | 44 | $310K |
| Ixekizumab | 25 | $180K |
| Secukinumab | 15 | $114K |
| Etanercept | 14 | $100K |
| Apremilast | 19 | $97K |
| Tofacitinib Citrate | 15 | $83K |
| Hydroxychloroquine Sulfate | 361 | $32K |
| Methotrexate Sodium | 215 | $7,570 |
| Leflunomide | 42 | $6,158 |
| Prednisone | 270 | $3,001 |
| Pregabalin | 17 | $1,830 |
| Pilocarpine Hcl | 18 | $1,314 |
| Gabapentin | 50 | $1,196 |
Prescribing Profile
Patient Profile
70
Avg Age
73%
Female
1.50
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