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
7,440
Total Claims
$967K
Drug Cost
535
Beneficiaries
$1,808
Cost/Patient
Risk Score Breakdown 41/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+529%
Opioid rate vs peers
57.8% vs 9.2% avg
+151%
Cost per patient vs peers
$1,808 vs $719 avg
⚠️ Opioid + Benzodiazepine Co-Prescriber
This provider prescribes both opioids and benzodiazepines. The FDA has issued a Black Box Warning about the life-threatening risks of concurrent use.
🔎 Data Overview
Opioid prescribing rate is 529% above the average for Physician Assistant providers. While some providers legitimately treat pain-heavy populations, deviations of this magnitude are rare and warrant examination.
This provider co-prescribes opioids and benzodiazepines — a combination carrying an FDA Black Box Warning due to increased risk of respiratory depression and death. While sometimes clinically necessary, this combination requires careful justification.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
57.8%
Opioid Rate
4,301
Opioid Claims
$492K
Opioid Cost
24.0%
Long-Acting Rate
This provider's opioid prescribing rate of 57.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 6,581 claims · $481K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Levorphanol Tartrate | 107 | $289K |
| Buprenorphine Hcl | 193 | $173K |
| Oxycodone Myristate | 117 | $83K |
| Tapentadol Hcl | 52 | $59K |
| Naloxegol Oxalate | 100 | $54K |
| Buprenorphine | 107 | $37K |
| Oxycodone Hcl/Acetaminophen | 869 | $24K |
| Hydrocodone Bitartrate | 28 | $18K |
| Oxycodone Hcl | 968 | $18K |
| Tapentadol Hcl | 29 | $18K |
| Linaclotide | 28 | $16K |
| Oxycodone Hcl | 25 | $15K |
| Hydrocodone/Acetaminophen | 629 | $15K |
| Lubiprostone | 45 | $13K |
| Naloxone Hcl | 132 | $11K |
Prescribing Profile
46
Unique Drugs
41.0
Anomaly Score
Patient Profile
69
Avg Age
66%
Female
1.61
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