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
8,213
Total Claims
$667K
Drug Cost
565
Beneficiaries
$1,180
Cost/Patient
Risk Score Breakdown 41/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+583%
Opioid rate vs peers
62.7% vs 9.2% avg
+64%
Cost per patient vs peers
$1,180 vs $719 avg
-15%
Brand preference vs peers
5.6% 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 583% 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
62.7%
Opioid Rate
5,153
Opioid Claims
$477K
Opioid Cost
19.4%
Long-Acting Rate
This provider's opioid prescribing rate of 62.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 462 claims · $353K
Generic: 7,751 claims · $313K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Buprenorphine Hcl | 132 | $123K |
| Oxycodone Hcl/Acetaminophen | 1,385 | $122K |
| Methylnaltrexone Bromide | 33 | $82K |
| Hydrocodone/Acetaminophen | 2,126 | $63K |
| Oxycodone Myristate | 96 | $44K |
| Hydrocodone Bitartrate | 26 | $15K |
| Lidocaine | 16 | $11K |
| Tapentadol Hcl | 11 | $10K |
| Morphine Sulfate | 553 | $10K |
| Tramadol Hcl | 100 | $9,582 |
| Gabapentin | 541 | $9,018 |
| Oxycodone Hcl | 502 | $8,966 |
| Oxycodone Hcl | 28 | $8,753 |
| Pregabalin | 12 | $7,421 |
| Pregabalin | 289 | $7,117 |
Prescribing Profile
36
Unique Drugs
41.0
Anomaly Score
Patient Profile
64
Avg Age
67%
Female
1.69
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