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
5,401
Total Claims
$222K
Drug Cost
912
Beneficiaries
$243
Cost/Patient
Risk Score Breakdown 32/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+446%
Opioid rate vs peers
50.2% vs 9.2% avg
-66%
Cost per patient vs peers
$243 vs $719 avg
-47%
Brand preference vs peers
3.5% vs 6.7% avg
🔎 Data Overview
Opioid rate is 446% above Physician Assistant peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
50.2%
Opioid Rate
2,712
Opioid Claims
$125K
Opioid Cost
16.2%
Long-Acting Rate
This provider's opioid prescribing rate of 50.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 189 claims · $77K
Generic: 5,212 claims · $144K
Patient Profile
68
Avg Age
68%
Female
2.00
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