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
6,253
Total Claims
$188K
Drug Cost
700
Beneficiaries
$269
Cost/Patient
Risk Score Breakdown 51/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+610%
Opioid rate vs peers
65.3% vs 9.2% avg
-63%
Cost per patient vs peers
$269 vs $719 avg
-68%
Brand preference vs peers
2.2% vs 6.7% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
⚠️ Opioid + Benzodiazepine Co-Prescriber
This provider prescribes both opioids and benzodiazepines. The FDA has issued a Black Box Warning about the life-threatening risks of concurrent use.
Opioid Prescribing
65.3%
Opioid Rate
4,082
Opioid Claims
$121K
Opioid Cost
24.9%
Long-Acting Rate
This provider's opioid prescribing rate of 65.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 135 claims · $28K
Generic: 6,118 claims · $161K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Hydrocodone/Acetaminophen | 1,982 | $48K |
| Oxycodone Hcl/Acetaminophen | 585 | $19K |
| Morphine Sulfate | 467 | $12K |
| Pregabalin | 324 | $9,537 |
| Gabapentin | 558 | $9,318 |
| Tramadol Hcl | 101 | $8,548 |
| Fentanyl | 105 | $8,335 |
| Oxycodone Hcl | 12 | $8,214 |
| Naloxone Hcl | 96 | $8,129 |
| Linaclotide | 13 | $6,672 |
| Methadone Hcl | 321 | $5,774 |
| Tizanidine Hcl | 309 | $4,799 |
| Naloxegol Oxalate | 12 | $4,328 |
| Morphine Sulfate | 104 | $2,495 |
| Oxycodone Hcl | 125 | $2,487 |
Prescribing Profile
29
Unique Drugs
51.0
Anomaly Score
Patient Profile
67
Avg Age
66%
Female
1.76
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