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
1,837
Total Claims
$60K
Drug Cost
279
Beneficiaries
$214
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+688%
Opioid rate vs peers
72.5% vs 9.2% avg
-70%
Cost per patient vs peers
$214 vs $719 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 688% 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
72.5%
Opioid Rate
1,331
Opioid Claims
$39K
Opioid Cost
0.9%
Long-Acting Rate
This provider's opioid prescribing rate of 72.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 18 claims · $12K
Generic: 1,819 claims · $48K
Patient Profile
70
Avg Age
59%
Female
1.27
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