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
5,243
Total Claims
$357K
Drug Cost
554
Beneficiaries
$645
Cost/Patient
Risk Score Breakdown 41/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+495%
Opioid rate vs peers
54.7% vs 9.2% avg
-10%
Cost per patient vs peers
$645 vs $719 avg
-21%
Brand preference vs peers
5.2% vs 6.7% avg
⚠️ 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.
🔎 Data Overview
Opioid rate is 495% above Physician Assistant peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
This provider co-prescribes opioids and benzodiazepines — a combination carrying an FDA Black Box Warning due to increased risk of respiratory depression and death. While sometimes clinically necessary, this combination requires careful justification.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
54.7%
Opioid Rate
2,866
Opioid Claims
$178K
Opioid Cost
20.2%
Long-Acting Rate
This provider's opioid prescribing rate of 54.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 274 claims · $139K
Generic: 4,969 claims · $219K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Hydrocodone/Acetaminophen | 1,140 | $43K |
| Methylnaltrexone Bromide | 16 | $39K |
| Oxycodone Hcl | 67 | $37K |
| Oxycodone Hcl/Acetaminophen | 521 | $25K |
| Naloxegol Oxalate | 43 | $21K |
| Diclofenac Sodium | 123 | $21K |
| Buprenorphine | 45 | $13K |
| Gabapentin | 516 | $10K |
| Morphine Sulfate | 350 | $10K |
| Oxycodone Hcl | 313 | $8,695 |
| Lidocaine | 53 | $6,638 |
| Naldemedine Tosylate | 12 | $5,730 |
| Pregabalin | 110 | $5,417 |
| Baclofen | 189 | $5,155 |
| Duloxetine Hcl | 112 | $4,095 |
Prescribing Profile
47
Unique Drugs
41.0
Anomaly Score
Patient Profile
66
Avg Age
56%
Female
1.85
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