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 →32
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
5,029
Total Claims
$753K
Drug Cost
297
Beneficiaries
$2,536
Cost/Patient
Risk Score Breakdown 32/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+483%
Opioid rate vs peers
53.6% vs 9.2% avg
+253%
Cost per patient vs peers
$2,536 vs $719 avg
+101%
Brand preference vs peers
13.4% vs 6.7% avg
🔎 Data Overview
Opioid rate is 483% above Physician Assistant peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
53.6%
Opioid Rate
2,696
Opioid Claims
$233K
Opioid Cost
17.6%
Long-Acting Rate
This provider's opioid prescribing rate of 53.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 673 claims · $483K
Generic: 4,356 claims · $270K
Patient Profile
67
Avg Age
69%
Female
1.52
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