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
682
Total Claims
$53K
Drug Cost
217
Beneficiaries
$242
Cost/Patient
Risk Score Breakdown 37/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+693%
Opioid rate vs peers
72.9% vs 9.2% avg
-66%
Cost per patient vs peers
$242 vs $719 avg
+8%
Brand preference vs peers
7.2% vs 6.7% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
🔎 Data Overview
Opioid prescribing rate is 693% above the average for Physician Assistant providers. While some providers legitimately treat pain-heavy populations, deviations of this magnitude are rare and warrant examination.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
72.9%
Opioid Rate
497
Opioid Claims
$46K
Opioid Cost
14.5%
Long-Acting Rate
This provider's opioid prescribing rate of 72.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 49 claims · $27K
Generic: 633 claims · $26K
Patient Profile
69
Avg Age
67%
Female
1.76
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