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
1,204
Total Claims
$104K
Drug Cost
214
Beneficiaries
$485
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+627%
Opioid rate vs peers
66.8% vs 9.2% avg
-33%
Cost per patient vs peers
$485 vs $719 avg
+26%
Brand preference vs peers
8.4% 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 627% 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
66.8%
Opioid Rate
804
Opioid Claims
$77K
Opioid Cost
28.2%
Long-Acting Rate
This provider's opioid prescribing rate of 66.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 101 claims · $42K
Generic: 1,103 claims · $61K
Patient Profile
67
Avg Age
63%
Female
1.85
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