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 →245
Total Claims
$10K
Drug Cost
175
Beneficiaries
$59
Cost/Patient
Risk Score Breakdown 3/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+122%
Opioid rate vs peers
20.4% vs 9.2% avg
-92%
Cost per patient vs peers
$59 vs $719 avg
🔎 Data Overview
Prescribes only 7 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
20.4%
Opioid Rate
50
Opioid Claims
$158
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 20.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 228 claims · $2,204
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Cefdinir | 24 | $416 |
| Doxycycline Hyclate | 17 | $154 |
| Ondansetron | 20 | $136 |
| Naproxen | 22 | $66 |
| Oxycodone Hcl/Acetaminophen | 14 | $49 |
| Oxycodone Hcl | 18 | $47 |
| Hydrocodone/Acetaminophen | 13 | $40 |
Prescribing Profile
7
Unique Drugs
3.0
Anomaly Score
Patient Profile
72
Avg Age
61%
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