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
5,282
Total Claims
$464K
Drug Cost
576
Beneficiaries
$805
Cost/Patient
Risk Score Breakdown 32/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+416%
Opioid rate vs peers
47.5% vs 9.2% avg
+12%
Cost per patient vs peers
$805 vs $719 avg
+47%
Brand preference vs peers
9.8% vs 6.7% avg
🔎 Data Overview
Opioid rate is 416% above Physician Assistant peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
47.5%
Opioid Rate
2,507
Opioid Claims
$281K
Opioid Cost
24.1%
Long-Acting Rate
This provider's opioid prescribing rate of 47.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 516 claims · $330K
Generic: 4,766 claims · $134K
Patient Profile
67
Avg Age
60%
Female
1.49
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