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
108
Total Claims
$18K
Drug Cost
31
Beneficiaries
$595
Cost/Patient
Risk Score Breakdown 32/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+545%
Opioid rate vs peers
59.3% vs 9.2% avg
-17%
Cost per patient vs peers
$595 vs $719 avg
+178%
Brand preference vs peers
18.5% 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 545% 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
59.3%
Opioid Rate
64
Opioid Claims
$8,300
Opioid Cost
26.6%
Long-Acting Rate
This provider's opioid prescribing rate of 59.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 20 claims · $15K
Generic: 88 claims · $3,155
Patient Profile
65
Avg Age
—
Female
1.64
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