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
8,562
Total Claims
$543K
Drug Cost
894
Beneficiaries
$608
Cost/Patient
Risk Score Breakdown 32/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+538%
Opioid rate vs peers
58.6% vs 9.2% avg
-16%
Cost per patient vs peers
$608 vs $719 avg
Opioid Prescribing
58.6%
Opioid Rate
5,018
Opioid Claims
$395K
Opioid Cost
22.3%
Long-Acting Rate
This provider's opioid prescribing rate of 58.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 8,227 claims · $317K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Myristate | 111 | $119K |
| Oxycodone Hcl/Acetaminophen | 1,383 | $65K |
| Oxycodone Hcl | 61 | $55K |
| Hydrocodone/Acetaminophen | 1,609 | $54K |
| Pregabalin | 412 | $27K |
| Fentanyl | 178 | $25K |
| Morphine Sulfate | 657 | $22K |
| Gabapentin | 908 | $20K |
| Oxymorphone Hcl | 32 | $19K |
| Linaclotide | 17 | $15K |
| Diclofenac Sodium | 174 | $10K |
| Tizanidine Hcl | 442 | $8,796 |
| Lidocaine | 36 | $8,308 |
| Oxycodone Hcl | 244 | $6,982 |
| Buprenorphine | 14 | $5,148 |
Prescribing Profile
35
Unique Drugs
32.0
Anomaly Score
Patient Profile
69
Avg Age
69%
Female
1.64
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