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
782
Total Claims
$30K
Drug Cost
156
Beneficiaries
$191
Cost/Patient
Risk Score Breakdown 41/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+654%
Opioid rate vs peers
69.3% vs 9.2% avg
-73%
Cost per patient vs peers
$191 vs $719 avg
-4%
Brand preference vs peers
6.4% 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 654% 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
69.3%
Opioid Rate
542
Opioid Claims
$21K
Opioid Cost
23.4%
Long-Acting Rate
This provider's opioid prescribing rate of 69.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 50 claims · $11K
Generic: 732 claims · $19K
Patient Profile
71
Avg Age
60%
Female
2.02
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