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
7,627
Total Claims
$408K
Drug Cost
1,036
Beneficiaries
$394
Cost/Patient
Risk Score Breakdown 37/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+584%
Opioid rate vs peers
62.9% vs 9.2% avg
-45%
Cost per patient vs peers
$394 vs $719 avg
-46%
Brand preference vs peers
3.6% 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 584% 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
62.9%
Opioid Rate
4,796
Opioid Claims
$278K
Opioid Cost
13.0%
Long-Acting Rate
This provider's opioid prescribing rate of 62.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 276 claims · $176K
Generic: 7,351 claims · $232K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Hydrocodone/Acetaminophen | 2,656 | $70K |
| Buprenorphine Hcl | 59 | $48K |
| Oxycodone Hcl | 55 | $34K |
| Oxycodone Hcl/Acetaminophen | 712 | $27K |
| Lidocaine | 146 | $24K |
| Tapentadol Hcl | 13 | $18K |
| Gabapentin | 687 | $13K |
| Pregabalin | 257 | $11K |
| Fentanyl | 97 | $10K |
| Buprenorphine | 31 | $9,245 |
| Oxycodone Myristate | 13 | $8,099 |
| Naloxegol Oxalate | 18 | $7,600 |
| Diclofenac Sodium | 109 | $7,569 |
| Morphine Sulfate | 245 | $7,559 |
| Buprenorphine Hcl/Naloxone Hcl | 21 | $6,370 |
Prescribing Profile
37
Unique Drugs
37.0
Anomaly Score
Patient Profile
67
Avg Age
58%
Female
2.05
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