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
3,276
Total Claims
$382K
Drug Cost
237
Beneficiaries
$1,610
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+703%
Opioid rate vs peers
73.8% vs 9.2% avg
+124%
Cost per patient vs peers
$1,610 vs $719 avg
+90%
Brand preference vs peers
12.6% 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 703% 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
73.8%
Opioid Rate
2,419
Opioid Claims
$319K
Opioid Cost
36.4%
Long-Acting Rate
This provider's opioid prescribing rate of 73.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 414 claims · $263K
Generic: 2,862 claims · $118K
Patient Profile
65
Avg Age
56%
Female
1.66
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