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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.

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Francisco UrbinaPA-C

Physician Assistant · Yuma, AZ 85364

NPI: 1386841435

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32

🟠 Elevated

Risk Flags

High opioid rate vs specialty peers95th percentile opioid prescribingHigh long-acting opioid rate vs peers

Risk indicators are statistical patterns, not allegations. Learn more

8,347

Total Claims

$992K

Drug Cost

693

Beneficiaries

$1,432

Cost/Patient

Risk Score Breakdown 32/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate vs specialty peers+10
Opioid rate (national percentile)+10
Long-acting opioid rate+8

Score components are additive. Read full methodology

Peer Comparison vs. 109,535 Physician Assistant providers

+438%

Opioid rate vs peers

49.4% vs 9.2% avg

+99%

Cost per patient vs peers

$1,432 vs $719 avg

+4%

Brand preference vs peers

6.9% vs 6.7% avg

Opioid Prescribing

49.4%

Opioid Rate

4,127

Opioid Claims

$306K

Opioid Cost

19.5%

Long-Acting Rate

This provider's opioid prescribing rate of 49.4% is above the 20% threshold that CMS considers elevated.

Brand vs Generic

93% generic

Brand: 580 claims · $701K

Generic: 7,767 claims · $292K

Patient Profile

69

Avg Age

57%

Female

2.02

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