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
5,256
Total Claims
$545K
Drug Cost
582
Beneficiaries
$937
Cost/Patient
Risk Score Breakdown 62/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+590%
Opioid rate vs peers
63.4% vs 9.2% avg
+30%
Cost per patient vs peers
$937 vs $719 avg
+70%
Brand preference vs peers
11.3% vs 6.7% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
⚠️ Opioid + Benzodiazepine Co-Prescriber
This provider prescribes both opioids and benzodiazepines. The FDA has issued a Black Box Warning about the life-threatening risks of concurrent use.
Opioid Prescribing
63.4%
Opioid Rate
3,331
Opioid Claims
$441K
Opioid Cost
39.4%
Long-Acting Rate
This provider's opioid prescribing rate of 63.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 594 claims · $334K
Generic: 4,662 claims · $212K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Hcl | 244 | $175K |
| Oxycodone Myristate | 74 | $50K |
| Tapentadol Hcl | 25 | $37K |
| Fentanyl | 273 | $25K |
| Oxycodone Hcl | 700 | $18K |
| Tapentadol Hcl | 12 | $18K |
| Buprenorphine | 43 | $18K |
| Buprenorphine Hcl/Naloxone Hcl | 79 | $14K |
| Oxycodone Hcl/Acetaminophen | 549 | $14K |
| Morphine Sulfate | 323 | $12K |
| Hydrocodone/Acetaminophen | 315 | $9,101 |
| Gabapentin | 352 | $8,862 |
| Oxymorphone Hcl | 20 | $8,727 |
| Pregabalin | 91 | $8,424 |
| Methadone Hcl | 304 | $7,950 |
Prescribing Profile
42
Unique Drugs
62.0
Anomaly Score
Patient Profile
68
Avg Age
62%
Female
1.60
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