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
10,876
Total Claims
$986K
Drug Cost
883
Beneficiaries
$1,116
Cost/Patient
Risk Score Breakdown 32/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+531%
Opioid rate vs peers
58.0% vs 9.2% avg
+55%
Cost per patient vs peers
$1,116 vs $719 avg
+27%
Brand preference vs peers
8.5% vs 6.7% avg
🔎 Data Overview
Opioid prescribing rate is 531% 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
58.0%
Opioid Rate
6,306
Opioid Claims
$745K
Opioid Cost
31.0%
Long-Acting Rate
This provider's opioid prescribing rate of 58.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 922 claims · $656K
Generic: 9,954 claims · $330K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Myristate | 440 | $279K |
| Oxycodone Hcl | 232 | $183K |
| Methylnaltrexone Bromide | 28 | $83K |
| Oxycodone Hcl/Acetaminophen | 1,797 | $76K |
| Oxymorphone Hcl | 74 | $48K |
| Oxycodone Hcl | 1,396 | $40K |
| Hydrocodone/Acetaminophen | 1,026 | $32K |
| Morphine Sulfate | 967 | $30K |
| Naloxegol Oxalate | 59 | $30K |
| Gabapentin | 1,408 | $24K |
| Pregabalin | 497 | $24K |
| Tapentadol Hcl | 18 | $23K |
| Pregabalin | 17 | $15K |
| Fentanyl | 129 | $12K |
| Lidocaine | 26 | $12K |
Prescribing Profile
41
Unique Drugs
32.0
Anomaly Score
Patient Profile
64
Avg Age
62%
Female
1.62
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