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
10,526
Total Claims
$437K
Drug Cost
875
Beneficiaries
$500
Cost/Patient
Risk Score Breakdown 32/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+367%
Opioid rate vs peers
42.9% vs 9.2% avg
-31%
Cost per patient vs peers
$500 vs $719 avg
-59%
Brand preference vs peers
2.7% vs 6.7% avg
🔎 Data Overview
Opioid rate is 367% 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
42.9%
Opioid Rate
4,515
Opioid Claims
$212K
Opioid Cost
18.2%
Long-Acting Rate
This provider's opioid prescribing rate of 42.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 284 claims · $152K
Generic: 10,220 claims · $284K
Patient Profile
67
Avg Age
63%
Female
1.72
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