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
1,370
Total Claims
$163K
Drug Cost
378
Beneficiaries
$431
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+602%
Opioid rate vs peers
64.5% vs 9.2% avg
-40%
Cost per patient vs peers
$431 vs $719 avg
+116%
Brand preference vs peers
14.4% 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 602% 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
64.5%
Opioid Rate
884
Opioid Claims
$98K
Opioid Cost
22.4%
Long-Acting Rate
This provider's opioid prescribing rate of 64.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 197 claims · $115K
Generic: 1,173 claims · $48K
Patient Profile
65
Avg Age
64%
Female
1.62
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