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
5,823
Total Claims
$555K
Drug Cost
650
Beneficiaries
$854
Cost/Patient
Risk Score Breakdown 32/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+490%
Opioid rate vs peers
54.2% vs 9.2% avg
+19%
Cost per patient vs peers
$854 vs $719 avg
+21%
Brand preference vs peers
8.0% vs 6.7% avg
🔎 Data Overview
Opioid rate is 490% above Physician Assistant peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
54.2%
Opioid Rate
3,156
Opioid Claims
$357K
Opioid Cost
18.7%
Long-Acting Rate
This provider's opioid prescribing rate of 54.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 467 claims · $283K
Generic: 5,356 claims · $271K
Patient Profile
69
Avg Age
62%
Female
1.89
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