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
204
Total Claims
$5,281
Drug Cost
127
Beneficiaries
$42
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+753%
Opioid rate vs peers
78.4% vs 9.2% avg
-94%
Cost per patient vs peers
$42 vs $719 avg
-19%
Brand preference vs peers
5.4% vs 6.7% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
78.4%
Opioid Rate
160
Opioid Claims
$993
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 78.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 11 claims · $3,905
Generic: 193 claims · $1,376
Patient Profile
70
Avg Age
59%
Female
1.21
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