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
5,804
Total Claims
$479K
Drug Cost
647
Beneficiaries
$740
Cost/Patient
Risk Score Breakdown 56/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+806%
Opioid rate vs peers
83.3% vs 9.2% avg
+3%
Cost per patient vs peers
$740 vs $719 avg
+153%
Brand preference vs peers
16.9% 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
83.3%
Opioid Rate
4,835
Opioid Claims
$435K
Opioid Cost
26.1%
Long-Acting Rate
This provider's opioid prescribing rate of 83.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 978 claims · $309K
Generic: 4,826 claims · $170K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Hcl | 228 | $142K |
| Oxycodone Myristate | 128 | $74K |
| Buprenorphine | 94 | $30K |
| Oxycodone Hcl | 1,302 | $28K |
| Buprenorphine Hcl | 46 | $27K |
| Hydrocodone/Acetaminophen | 832 | $27K |
| Hydromorphone Hcl | 59 | $21K |
| Fentanyl | 172 | $17K |
| Morphine Sulfate | 282 | $14K |
| Hydromorphone Hcl | 790 | $13K |
| Morphine Sulfate | 478 | $12K |
| Suvorexant | 25 | $11K |
| Oxycodone Hcl/Acetaminophen | 266 | $9,775 |
| Tapentadol Hcl | 13 | $7,438 |
| Naloxegol Oxalate | 12 | $5,946 |
Prescribing Profile
33
Unique Drugs
56.0
Anomaly Score
Patient Profile
65
Avg Age
63%
Female
1.50
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