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
4,764
Total Claims
$485K
Drug Cost
326
Beneficiaries
$1,487
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+725%
Opioid rate vs peers
75.8% vs 9.2% avg
+107%
Cost per patient vs peers
$1,487 vs $719 avg
+53%
Brand preference vs peers
10.2% 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 725% 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
75.8%
Opioid Rate
3,611
Opioid Claims
$425K
Opioid Cost
26.6%
Long-Acting Rate
This provider's opioid prescribing rate of 75.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 486 claims · $257K
Generic: 4,278 claims · $228K
Patient Profile
66
Avg Age
63%
Female
1.95
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