⚠️

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 →

Meredith ChappellPA-C

Physician Assistant · Fredericksburg, VA 22401

NPI: 1063407161

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41

🟠 Elevated

Risk Flags

High opioid rate vs specialty peers95th percentile opioid prescribingHigh long-acting opioid rate vs peersOpioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

5,422

Total Claims

$375K

Drug Cost

467

Beneficiaries

$803

Cost/Patient

Risk Score Breakdown 41/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate vs specialty peers+10
Opioid rate (national percentile)+10
Long-acting opioid rate+8
Opioid + benzodiazepine combo+8

Score components are additive. Read full methodology

Peer Comparison vs. 109,535 Physician Assistant providers

+494%

Opioid rate vs peers

54.6% vs 9.2% avg

+12%

Cost per patient vs peers

$803 vs $719 avg

+14%

Brand preference vs peers

7.6% vs 6.7% avg

⚠️ Opioid + Benzodiazepine Co-Prescriber

This provider prescribes both opioids and benzodiazepines. The FDA has issued a Black Box Warning about the life-threatening risks of concurrent use.

🔎 Data Overview

💊

Opioid rate is 494% above Physician Assistant peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.

⚠️

This provider co-prescribes opioids and benzodiazepines — a combination carrying an FDA Black Box Warning due to increased risk of respiratory depression and death. While sometimes clinically necessary, this combination requires careful justification.

Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.

Opioid Prescribing

54.6%

Opioid Rate

2,958

Opioid Claims

$214K

Opioid Cost

16.4%

Long-Acting Rate

This provider's opioid prescribing rate of 54.6% is above the 20% threshold that CMS considers elevated.

Brand vs Generic

92% generic

Brand: 412 claims · $196K

Generic: 5,010 claims · $180K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Buprenorphine Hcl81$64K
Buprenorphine63$28K
Hydrocodone/Acetaminophen846$23K
Oxycodone Hcl37$22K
Naloxegol Oxalate31$21K
Gabapentin746$20K
Lidocaine95$19K
Oxycodone Hcl/Acetaminophen640$17K
Pregabalin269$16K
Hydrocodone Bitartrate18$16K
Diclofenac Sodium206$12K
Oxycodone Hcl521$12K
Gabapentin Enacarbil11$11K
Lidocaine14$10K
Lubiprostone24$7,747

Prescribing Profile

34

Unique Drugs

41.0

Anomaly Score

Patient Profile

71

Avg Age

68%

Female

1.41

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