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
3,148
Total Claims
$696K
Drug Cost
247
Beneficiaries
$2,818
Cost/Patient
Risk Score Breakdown 38/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+543%
Opioid rate vs peers
59.1% vs 9.2% avg
+292%
Cost per patient vs peers
$2,818 vs $719 avg
+150%
Brand preference vs peers
16.6% vs 6.7% avg
🔎 Data Overview
Opioid prescribing rate is 543% 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
59.1%
Opioid Rate
1,860
Opioid Claims
$371K
Opioid Cost
32.4%
Long-Acting Rate
This provider's opioid prescribing rate of 59.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 523 claims · $474K
Generic: 2,625 claims · $223K
Patient Profile
67
Avg Age
71%
Female
1.81
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