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
6,616
Total Claims
$614K
Drug Cost
847
Beneficiaries
$725
Cost/Patient
Risk Score Breakdown 32/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+504%
Opioid rate vs peers
55.5% vs 9.2% avg
+1%
Cost per patient vs peers
$725 vs $719 avg
+55%
Brand preference vs peers
10.3% vs 6.7% avg
🔎 Data Overview
Opioid prescribing rate is 504% 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
55.5%
Opioid Rate
3,670
Opioid Claims
$324K
Opioid Cost
17.8%
Long-Acting Rate
This provider's opioid prescribing rate of 55.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 680 claims · $392K
Generic: 5,936 claims · $222K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Hcl | 185 | $81K |
| Buprenorphine Hcl | 99 | $68K |
| Methylnaltrexone Bromide | 20 | $51K |
| Oxycodone Hcl | 1,442 | $38K |
| Lidocaine | 54 | $35K |
| Oxycodone Hcl/Acetaminophen | 922 | $31K |
| Diclofenac Sodium | 279 | $31K |
| Oxycodone Myristate | 52 | $21K |
| Pregabalin | 377 | $21K |
| Buprenorphine | 59 | $20K |
| Lidocaine | 143 | $18K |
| Pregabalin | 16 | $14K |
| Naloxegol Oxalate | 31 | $13K |
| Gabapentin | 596 | $11K |
| Hydrocodone Bitartrate | 27 | $10K |
Prescribing Profile
34
Unique Drugs
32.0
Anomaly Score
Patient Profile
65
Avg Age
61%
Female
1.67
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