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
5,618
Total Claims
$280K
Drug Cost
774
Beneficiaries
$362
Cost/Patient
Risk Score Breakdown 41/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+513%
Opioid rate vs peers
56.3% vs 9.2% avg
-50%
Cost per patient vs peers
$362 vs $719 avg
-38%
Brand preference vs peers
4.1% 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.
Opioid Prescribing
56.3%
Opioid Rate
3,164
Opioid Claims
$209K
Opioid Cost
19.0%
Long-Acting Rate
This provider's opioid prescribing rate of 56.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 232 claims · $124K
Generic: 5,386 claims · $156K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Buprenorphine | 213 | $53K |
| Oxycodone Hcl/Acetaminophen | 1,208 | $30K |
| Tapentadol Hcl | 21 | $25K |
| Oxycodone Myristate | 33 | $25K |
| Buprenorphine Hcl | 30 | $21K |
| Hydrocodone/Acetaminophen | 700 | $15K |
| Oxycodone Hcl | 27 | $12K |
| Gabapentin | 591 | $11K |
| Pregabalin | 324 | $10K |
| Buprenorphine | 11 | $6,391 |
| Fentanyl | 42 | $6,096 |
| Lidocaine | 68 | $5,686 |
| Diclofenac Sodium | 110 | $4,708 |
| Morphine Sulfate | 181 | $4,683 |
| Tizanidine Hcl | 366 | $4,173 |
Prescribing Profile
36
Unique Drugs
41.0
Anomaly Score
Patient Profile
69
Avg Age
68%
Female
1.82
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