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
5,281
Total Claims
$341K
Drug Cost
534
Beneficiaries
$638
Cost/Patient
Risk Score Breakdown 32/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+541%
Opioid rate vs peers
58.9% vs 9.2% avg
-11%
Cost per patient vs peers
$638 vs $719 avg
🔎 Data Overview
Opioid prescribing rate is 541% 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
58.9%
Opioid Rate
3,112
Opioid Claims
$164K
Opioid Cost
16.4%
Long-Acting Rate
This provider's opioid prescribing rate of 58.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 4,799 claims · $149K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Hcl/Acetaminophen | 1,289 | $46K |
| Oxycodone Myristate | 122 | $42K |
| Naloxegol Oxalate | 71 | $36K |
| Lidocaine | 58 | $26K |
| Linaclotide | 39 | $23K |
| Hydrocodone/Acetaminophen | 620 | $17K |
| Oxycodone Hcl | 61 | $14K |
| Oxymorphone Hcl | 38 | $14K |
| Pregabalin | 357 | $12K |
| Gabapentin | 764 | $12K |
| Oxycodone Hcl | 473 | $8,355 |
| Oxycodone Hcl | 50 | $8,216 |
| Lubiprostone | 25 | $7,376 |
| Diclofenac Sodium | 133 | $6,373 |
| Lidocaine | 63 | $5,891 |
Prescribing Profile
28
Unique Drugs
32.0
Anomaly Score
Patient Profile
66
Avg Age
66%
Female
1.67
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