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
2,976
Total Claims
$142K
Drug Cost
518
Beneficiaries
$275
Cost/Patient
Risk Score Breakdown 38/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+549%
Opioid rate vs peers
59.6% vs 9.2% avg
-62%
Cost per patient vs peers
$275 vs $719 avg
-61%
Brand preference vs peers
2.6% 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 549% 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
59.6%
Opioid Rate
1,775
Opioid Claims
$113K
Opioid Cost
17.4%
Long-Acting Rate
This provider's opioid prescribing rate of 59.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 77 claims · $54K
Generic: 2,899 claims · $88K
Patient Profile
73
Avg Age
59%
Female
1.20
Avg Risk Score
Explore More
Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About