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
645
Total Claims
$44K
Drug Cost
175
Beneficiaries
$252
Cost/Patient
Risk Score Breakdown 38/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+415%
Opioid rate vs peers
47.3% vs 9.2% avg
-65%
Cost per patient vs peers
$252 vs $719 avg
+91%
Brand preference vs peers
12.7% vs 6.7% avg
🔎 Data Overview
Opioid rate is 415% above Physician Assistant peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
47.3%
Opioid Rate
305
Opioid Claims
$25K
Opioid Cost
35.1%
Long-Acting Rate
This provider's opioid prescribing rate of 47.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 82 claims · $22K
Generic: 563 claims · $22K
Patient Profile
68
Avg Age
53%
Female
3.61
Avg Risk Score
Explore More
Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About