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
957
Total Claims
$76K
Drug Cost
148
Beneficiaries
$513
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+595%
Opioid rate vs peers
63.8% vs 9.2% avg
-29%
Cost per patient vs peers
$513 vs $719 avg
+79%
Brand preference vs peers
11.9% 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 595% 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
63.8%
Opioid Rate
611
Opioid Claims
$47K
Opioid Cost
39.6%
Long-Acting Rate
This provider's opioid prescribing rate of 63.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 114 claims · $50K
Generic: 843 claims · $26K
Patient Profile
70
Avg Age
61%
Female
2.10
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