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 →39
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
155
Total Claims
$106K
Drug Cost
32
Beneficiaries
$3,308
Cost/Patient
Risk Score Breakdown 39/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+665%
Opioid rate vs peers
70.3% vs 9.2% avg
+360%
Cost per patient vs peers
$3,308 vs $719 avg
+375%
Brand preference vs peers
31.6% vs 6.7% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
70.3%
Opioid Rate
109
Opioid Claims
$103K
Opioid Cost
36.7%
Long-Acting Rate
This provider's opioid prescribing rate of 70.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 49 claims · $93K
Generic: 106 claims · $13K
Patient Profile
61
Avg Age
47%
Female
0.98
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