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
245
Total Claims
$29K
Drug Cost
102
Beneficiaries
$284
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+557%
Opioid rate vs peers
60.4% vs 9.2% avg
-61%
Cost per patient vs peers
$284 vs $719 avg
+60%
Brand preference vs peers
10.6% 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 557% 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
60.4%
Opioid Rate
148
Opioid Claims
$14K
Opioid Cost
21.6%
Long-Acting Rate
This provider's opioid prescribing rate of 60.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 26 claims · $11K
Generic: 219 claims · $18K
Patient Profile
66
Avg Age
69%
Female
1.91
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