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 →33
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
415
Total Claims
$17K
Drug Cost
250
Beneficiaries
$67
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+676%
Opioid rate vs peers
71.3% vs 9.2% avg
-91%
Cost per patient vs peers
$67 vs $719 avg
+81%
Brand preference vs peers
12.0% vs 6.7% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
71.3%
Opioid Rate
296
Opioid Claims
$1,768
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 71.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 50 claims · $13K
Generic: 365 claims · $3,300
Patient Profile
73
Avg Age
64%
Female
0.92
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