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
4,798
Total Claims
$426K
Drug Cost
253
Beneficiaries
$1,683
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+532%
Opioid rate vs peers
58.1% vs 9.2% avg
+134%
Cost per patient vs peers
$1,683 vs $719 avg
+59%
Brand preference vs peers
10.6% vs 6.7% avg
🔎 Data Overview
Opioid prescribing rate is 532% 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
58.1%
Opioid Rate
2,786
Opioid Claims
$279K
Opioid Cost
22.4%
Long-Acting Rate
This provider's opioid prescribing rate of 58.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 509 claims · $284K
Generic: 4,289 claims · $142K
Patient Profile
67
Avg Age
61%
Female
1.79
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