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
1,048
Total Claims
$100K
Drug Cost
341
Beneficiaries
$294
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+634%
Opioid rate vs peers
67.5% vs 9.2% avg
-59%
Cost per patient vs peers
$294 vs $719 avg
+55%
Brand preference vs peers
10.3% 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 634% 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
67.5%
Opioid Rate
707
Opioid Claims
$58K
Opioid Cost
20.7%
Long-Acting Rate
This provider's opioid prescribing rate of 67.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 108 claims · $62K
Generic: 940 claims · $38K
Patient Profile
65
Avg Age
66%
Female
1.77
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