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 →36
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
1,681
Total Claims
$199K
Drug Cost
204
Beneficiaries
$977
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+576%
Opioid rate vs peers
62.1% vs 9.2% avg
+36%
Cost per patient vs peers
$977 vs $719 avg
+90%
Brand preference vs peers
12.7% vs 6.7% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
62.1%
Opioid Rate
1,044
Opioid Claims
$160K
Opioid Cost
38.3%
Long-Acting Rate
This provider's opioid prescribing rate of 62.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 213 claims · $137K
Generic: 1,468 claims · $62K
Patient Profile
67
Avg Age
58%
Female
1.88
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