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
3,384
Total Claims
$317K
Drug Cost
540
Beneficiaries
$587
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+755%
Opioid rate vs peers
78.6% vs 9.2% avg
-18%
Cost per patient vs peers
$587 vs $719 avg
-9%
Brand preference vs peers
6.1% 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 755% 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
78.6%
Opioid Rate
2,660
Opioid Claims
$171K
Opioid Cost
25.6%
Long-Acting Rate
This provider's opioid prescribing rate of 78.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 205 claims · $94K
Generic: 3,179 claims · $223K
Patient Profile
70
Avg Age
66%
Female
1.65
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