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
10,116
Total Claims
$455K
Drug Cost
1,412
Beneficiaries
$323
Cost/Patient
Risk Score Breakdown 37/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+588%
Opioid rate vs peers
63.2% vs 9.2% avg
-55%
Cost per patient vs peers
$323 vs $719 avg
-39%
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.
🔎 Data Overview
Opioid prescribing rate is 588% 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
63.2%
Opioid Rate
6,394
Opioid Claims
$276K
Opioid Cost
13.1%
Long-Acting Rate
This provider's opioid prescribing rate of 63.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 413 claims · $158K
Generic: 9,703 claims · $297K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Hydrocodone/Acetaminophen | 3,943 | $131K |
| Lidocaine | 98 | $59K |
| Buprenorphine | 125 | $30K |
| Oxycodone Hcl/Acetaminophen | 790 | $30K |
| Naloxegol Oxalate | 63 | $27K |
| Naloxone Hcl | 184 | $16K |
| Diclofenac Sodium | 221 | $14K |
| Lidocaine | 72 | $14K |
| Tapentadol Hcl | 16 | $14K |
| Oxycodone Hcl | 37 | $14K |
| Gabapentin | 866 | $13K |
| Buprenorphine | 27 | $13K |
| Pregabalin | 283 | $10K |
| Morphine Sulfate | 488 | $10K |
| Fentanyl | 107 | $8,187 |
Prescribing Profile
29
Unique Drugs
37.0
Anomaly Score
Patient Profile
65
Avg Age
63%
Female
1.88
Avg Risk Score
Explore More
Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About