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
281
Total Claims
$34K
Drug Cost
69
Beneficiaries
$489
Cost/Patient
Risk Score Breakdown 41/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+674%
Opioid rate vs peers
71.2% vs 9.2% avg
-32%
Cost per patient vs peers
$489 vs $719 avg
+141%
Brand preference vs peers
16.0% 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 674% 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
71.2%
Opioid Rate
200
Opioid Claims
$31K
Opioid Cost
30.5%
Long-Acting Rate
This provider's opioid prescribing rate of 71.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 45 claims · $27K
Generic: 236 claims · $7,020
Patient Profile
68
Avg Age
75%
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