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
3,022
Total Claims
$235K
Drug Cost
755
Beneficiaries
$311
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+726%
Opioid rate vs peers
75.9% vs 9.2% avg
-57%
Cost per patient vs peers
$311 vs $719 avg
+30%
Brand preference vs peers
8.7% 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 726% 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
75.9%
Opioid Rate
2,294
Opioid Claims
$199K
Opioid Cost
19.1%
Long-Acting Rate
This provider's opioid prescribing rate of 75.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 262 claims · $132K
Generic: 2,760 claims · $103K
Patient Profile
65
Avg Age
63%
Female
1.57
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