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
3,797
Total Claims
$287K
Drug Cost
554
Beneficiaries
$518
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+673%
Opioid rate vs peers
71.0% vs 9.2% avg
-28%
Cost per patient vs peers
$518 vs $719 avg
+52%
Brand preference vs peers
10.1% 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 673% 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
71.0%
Opioid Rate
2,696
Opioid Claims
$213K
Opioid Cost
25.6%
Long-Acting Rate
This provider's opioid prescribing rate of 71.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 383 claims · $146K
Generic: 3,414 claims · $141K
Patient Profile
69
Avg Age
70%
Female
1.53
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