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
3,997
Total Claims
$504K
Drug Cost
617
Beneficiaries
$817
Cost/Patient
Risk Score Breakdown 39/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+708%
Opioid rate vs peers
74.3% vs 9.2% avg
+14%
Cost per patient vs peers
$817 vs $719 avg
-33%
Brand preference vs peers
4.5% 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 708% 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
74.3%
Opioid Rate
2,968
Opioid Claims
$132K
Opioid Cost
11.3%
Long-Acting Rate
This provider's opioid prescribing rate of 74.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 179 claims · $390K
Generic: 3,818 claims · $115K
Patient Profile
71
Avg Age
57%
Female
1.26
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