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
1,172
Total Claims
$107K
Drug Cost
199
Beneficiaries
$538
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+557%
Opioid rate vs peers
60.4% vs 9.2% avg
-25%
Cost per patient vs peers
$538 vs $719 avg
+76%
Brand preference vs peers
11.7% 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 557% 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
60.4%
Opioid Rate
708
Opioid Claims
$75K
Opioid Cost
25.3%
Long-Acting Rate
This provider's opioid prescribing rate of 60.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 137 claims · $68K
Generic: 1,035 claims · $39K
Patient Profile
73
Avg Age
60%
Female
1.56
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