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 →33
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
76
Total Claims
$1,648
Drug Cost
58
Beneficiaries
$28
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+702%
Opioid rate vs peers
73.7% vs 9.2% avg
-96%
Cost per patient vs peers
$28 vs $719 avg
+177%
Brand preference vs peers
18.4% 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 702% 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
73.7%
Opioid Rate
56
Opioid Claims
$373
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 73.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 14 claims · $1,208
Generic: 62 claims · $439
Patient Profile
74
Avg Age
52%
Female
0.90
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