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
178
Total Claims
$39K
Drug Cost
46
Beneficiaries
$844
Cost/Patient
Risk Score Breakdown 35/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+750%
Opioid rate vs peers
78.1% vs 9.2% avg
+17%
Cost per patient vs peers
$844 vs $719 avg
+297%
Brand preference vs peers
26.4% 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 750% 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
78.1%
Opioid Rate
139
Opioid Claims
$38K
Opioid Cost
41.7%
Long-Acting Rate
This provider's opioid prescribing rate of 78.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 47 claims · $33K
Generic: 131 claims · $6,060
Patient Profile
66
Avg Age
30%
Female
3.10
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