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
2,498
Total Claims
$236K
Drug Cost
319
Beneficiaries
$738
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+640%
Opioid rate vs peers
68.1% vs 9.2% avg
+3%
Cost per patient vs peers
$738 vs $719 avg
+23%
Brand preference vs peers
8.2% vs 6.7% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
🔎 Data Overview
Opioid prescribing rate is 640% above the average for Physician Assistant providers. While some providers legitimately treat pain-heavy populations, deviations of this magnitude are rare and warrant examination.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
68.1%
Opioid Rate
1,700
Opioid Claims
$170K
Opioid Cost
20.6%
Long-Acting Rate
This provider's opioid prescribing rate of 68.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 205 claims · $141K
Generic: 2,293 claims · $95K
Patient Profile
70
Avg Age
62%
Female
1.77
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