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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 →

Karen MonterussoPA

Physician Assistant · Holland, MI 49424

NPI: 1245204965

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51

🔴 High Risk

Risk Flags

Very high opioid rate vs specialty peers95th percentile opioid prescribingHigh long-acting opioid rate vs peersOpioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

5,540

Total Claims

$182K

Drug Cost

815

Beneficiaries

$224

Cost/Patient

Risk Score Breakdown 51/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate vs specialty peers+18
Opioid rate (national percentile)+10
Long-acting opioid rate+8
Opioid + benzodiazepine combo+8

Score components are additive. Read full methodology

Peer Comparison vs. 109,535 Physician Assistant providers

+582%

Opioid rate vs peers

62.7% vs 9.2% avg

-69%

Cost per patient vs peers

$224 vs $719 avg

-70%

Brand preference vs peers

2.0% 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

62.7%

Opioid Rate

3,471

Opioid Claims

$140K

Opioid Cost

29.0%

Long-Acting Rate

This provider's opioid prescribing rate of 62.7% is above the 20% threshold that CMS considers elevated.

Brand vs Generic

98% generic

Brand: 110 claims · $50K

Generic: 5,430 claims · $132K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Oxycodone Hcl35$31K
Hydrocodone/Acetaminophen1,311$29K
Fentanyl202$20K
Oxycodone Hcl/Acetaminophen574$16K
Morphine Sulfate517$13K
Gabapentin558$11K
Pregabalin162$5,615
Buprenorphine19$5,362
Naloxone Hcl42$3,704
Tizanidine Hcl194$3,315
Oxycodone Hcl184$3,198
Methadone Hcl216$2,944
Baclofen90$2,117
Acetaminophen With Codeine86$1,701
Tramadol Hcl236$1,490

Prescribing Profile

37

Unique Drugs

51.0

Anomaly Score

Patient Profile

69

Avg Age

69%

Female

1.69

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