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
6,771
Total Claims
$512K
Drug Cost
1,189
Beneficiaries
$430
Cost/Patient
Risk Score Breakdown 47/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+645%
Opioid rate vs peers
68.5% vs 9.2% avg
-40%
Cost per patient vs peers
$430 vs $719 avg
+17%
Brand preference vs peers
7.8% 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 645% 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
68.5%
Opioid Rate
4,638
Opioid Claims
$412K
Opioid Cost
30.3%
Long-Acting Rate
This provider's opioid prescribing rate of 68.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 526 claims · $303K
Generic: 6,245 claims · $208K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Myristate | 139 | $103K |
| Oxycodone Hcl | 146 | $101K |
| Hydrocodone/Acetaminophen | 1,384 | $42K |
| Fentanyl | 225 | $30K |
| Oxycodone Hcl/Acetaminophen | 778 | $27K |
| Pregabalin | 23 | $18K |
| Pregabalin | 398 | $15K |
| Oxycodone Hcl | 656 | $15K |
| Morphine Sulfate | 480 | $15K |
| Tapentadol Hcl | 11 | $12K |
| Gabapentin | 435 | $9,124 |
| Hydrocodone Bitartrate | 14 | $8,562 |
| Methadone Hcl | 309 | $7,863 |
| Diclofenac Sodium | 115 | $7,725 |
| Buprenorphine | 21 | $6,424 |
Prescribing Profile
31
Unique Drugs
47.0
Anomaly Score
Patient Profile
67
Avg Age
65%
Female
1.97
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