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
3,527
Total Claims
$311K
Drug Cost
308
Beneficiaries
$1,010
Cost/Patient
Risk Score Breakdown 38/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+589%
Opioid rate vs peers
63.3% vs 9.2% avg
+40%
Cost per patient vs peers
$1,010 vs $719 avg
+25%
Brand preference vs peers
8.3% 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 589% 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
63.3%
Opioid Rate
2,233
Opioid Claims
$255K
Opioid Cost
23.5%
Long-Acting Rate
This provider's opioid prescribing rate of 63.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 293 claims · $221K
Generic: 3,234 claims · $90K
Patient Profile
72
Avg Age
65%
Female
1.51
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