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
6,688
Total Claims
$549K
Drug Cost
569
Beneficiaries
$964
Cost/Patient
Risk Score Breakdown 37/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+556%
Opioid rate vs peers
60.3% vs 9.2% avg
+34%
Cost per patient vs peers
$964 vs $719 avg
-23%
Brand preference vs peers
5.1% 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 556% 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
60.3%
Opioid Rate
4,030
Opioid Claims
$296K
Opioid Cost
12.2%
Long-Acting Rate
This provider's opioid prescribing rate of 60.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 343 claims · $254K
Generic: 6,345 claims · $294K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Methylnaltrexone Bromide | 58 | $143K |
| Oxycodone Hcl/Acetaminophen | 846 | $126K |
| Hydrocodone/Acetaminophen | 1,435 | $46K |
| Oxycodone Myristate | 60 | $30K |
| Oxycodone Hcl | 1,053 | $24K |
| Oxycodone Hcl | 31 | $16K |
| Naloxone Hcl | 172 | $14K |
| Gabapentin | 722 | $13K |
| Lidocaine | 98 | $13K |
| Tapentadol Hcl | 11 | $8,811 |
| Pregabalin | 372 | $8,607 |
| Morphine Sulfate | 359 | $8,568 |
| Buprenorphine | 16 | $6,794 |
| Diclofenac Sodium | 98 | $2,482 |
| Tizanidine Hcl | 208 | $1,977 |
Prescribing Profile
33
Unique Drugs
37.0
Anomaly Score
Patient Profile
64
Avg Age
66%
Female
1.98
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