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 →38
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
4,598
Total Claims
$469K
Drug Cost
423
Beneficiaries
$1,108
Cost/Patient
Risk Score Breakdown 38/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+578%
Opioid rate vs peers
62.3% vs 9.2% avg
+54%
Cost per patient vs peers
$1,108 vs $719 avg
+9%
Brand preference vs peers
7.2% vs 6.7% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
62.3%
Opioid Rate
2,865
Opioid Claims
$313K
Opioid Cost
26.7%
Long-Acting Rate
This provider's opioid prescribing rate of 62.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 333 claims · $195K
Generic: 4,265 claims · $274K
Patient Profile
65
Avg Age
68%
Female
2.20
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