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
3,646
Total Claims
$331K
Drug Cost
303
Beneficiaries
$1,094
Cost/Patient
Risk Score Breakdown 38/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+583%
Opioid rate vs peers
62.8% vs 9.2% avg
+52%
Cost per patient vs peers
$1,094 vs $719 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 583% 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
62.8%
Opioid Rate
2,290
Opioid Claims
$223K
Opioid Cost
18.4%
Long-Acting Rate
This provider's opioid prescribing rate of 62.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 243 claims · $152K
Generic: 3,403 claims · $179K
Patient Profile
71
Avg Age
58%
Female
1.40
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