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 →41
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
5,258
Total Claims
$338K
Drug Cost
560
Beneficiaries
$604
Cost/Patient
Risk Score Breakdown 41/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+542%
Opioid rate vs peers
59.0% vs 9.2% avg
-16%
Cost per patient vs peers
$604 vs $719 avg
+12%
Brand preference vs peers
7.5% vs 6.7% avg
⚠️ 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
59.0%
Opioid Rate
3,102
Opioid Claims
$251K
Opioid Cost
23.6%
Long-Acting Rate
This provider's opioid prescribing rate of 59.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 392 claims · $189K
Generic: 4,866 claims · $150K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Myristate | 124 | $64K |
| Buprenorphine | 111 | $32K |
| Tapentadol Hcl | 22 | $31K |
| Oxycodone Hcl/Acetaminophen | 717 | $27K |
| Buprenorphine Hcl | 33 | $22K |
| Hydrocodone/Acetaminophen | 665 | $20K |
| Naloxegol Oxalate | 25 | $13K |
| Pregabalin | 356 | $13K |
| Tapentadol Hcl | 13 | $13K |
| Gabapentin | 411 | $11K |
| Celecoxib | 20 | $9,499 |
| Oxycodone Hcl | 467 | $9,492 |
| Oxycodone Hcl | 28 | $8,944 |
| Morphine Sulfate | 370 | $8,730 |
| Diclofenac Sodium | 75 | $6,849 |
Prescribing Profile
30
Unique Drugs
41.0
Anomaly Score
Patient Profile
70
Avg Age
64%
Female
1.65
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