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
6,615
Total Claims
$688K
Drug Cost
566
Beneficiaries
$1,215
Cost/Patient
Risk Score Breakdown 51/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+564%
Opioid rate vs peers
61.0% vs 9.2% avg
+69%
Cost per patient vs peers
$1,215 vs $719 avg
+42%
Brand preference vs peers
9.4% vs 6.7% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
⚠️ 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
61.0%
Opioid Rate
4,035
Opioid Claims
$486K
Opioid Cost
25.1%
Long-Acting Rate
This provider's opioid prescribing rate of 61.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 625 claims · $448K
Generic: 5,990 claims · $240K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Hcl | 225 | $263K |
| Oxycodone Myristate | 85 | $61K |
| Hydrocodone/Acetaminophen | 1,081 | $35K |
| Naloxegol Oxalate | 68 | $32K |
| Oxycodone Hcl | 794 | $25K |
| Tapentadol Hcl | 12 | $20K |
| Oxycodone Hcl/Acetaminophen | 615 | $20K |
| Fentanyl | 173 | $19K |
| Naloxone Hcl | 212 | $17K |
| Lidocaine | 51 | $14K |
| Pregabalin | 11 | $11K |
| Morphine Sulfate | 316 | $10K |
| Gabapentin | 316 | $10K |
| Hydrocodone Bitartrate | 23 | $7,005 |
| Diclofenac Sodium | 108 | $6,988 |
Prescribing Profile
47
Unique Drugs
51.0
Anomaly Score
Patient Profile
72
Avg Age
56%
Female
1.73
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