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
5,317
Total Claims
$195K
Drug Cost
658
Beneficiaries
$296
Cost/Patient
Risk Score Breakdown 51/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+593%
Opioid rate vs peers
63.7% vs 9.2% avg
-59%
Cost per patient vs peers
$296 vs $719 avg
-38%
Brand preference vs peers
4.1% 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
63.7%
Opioid Rate
3,386
Opioid Claims
$120K
Opioid Cost
18.3%
Long-Acting Rate
This provider's opioid prescribing rate of 63.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 220 claims · $60K
Generic: 5,097 claims · $135K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Hydrocodone/Acetaminophen | 1,318 | $35K |
| Oxycodone Hcl | 53 | $24K |
| Oxycodone Hcl/Acetaminophen | 437 | $12K |
| Naloxegol Oxalate | 15 | $10K |
| Pregabalin | 256 | $9,827 |
| Fentanyl | 125 | $9,819 |
| Gabapentin | 431 | $9,537 |
| Butalbit/Acetamin/Caff/Codeine | 13 | $8,566 |
| Morphine Sulfate | 317 | $8,101 |
| Oxycodone Hcl | 460 | $7,506 |
| Naloxone Hcl | 55 | $4,374 |
| Diclofenac Sodium | 157 | $3,874 |
| Morphine Sulfate | 119 | $3,860 |
| Tramadol Hcl | 305 | $2,935 |
| Buprenorphine Hcl/Naloxone Hcl | 26 | $2,684 |
Prescribing Profile
35
Unique Drugs
51.0
Anomaly Score
Patient Profile
70
Avg Age
63%
Female
2.21
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