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
6,914
Total Claims
$759K
Drug Cost
662
Beneficiaries
$1,147
Cost/Patient
Risk Score Breakdown 41/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+524%
Opioid rate vs peers
57.3% vs 9.2% avg
+59%
Cost per patient vs peers
$1,147 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 524% 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
57.3%
Opioid Rate
3,962
Opioid Claims
$258K
Opioid Cost
26.0%
Long-Acting Rate
This provider's opioid prescribing rate of 57.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 459 claims · $550K
Generic: 6,455 claims · $210K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Methylnaltrexone Bromide | 134 | $342K |
| Oxycodone Hcl | 64 | $69K |
| Hydrocodone/Acetaminophen | 1,998 | $65K |
| Ubrogepant | 26 | $38K |
| Oxycodone Myristate | 41 | $34K |
| Naloxegol Oxalate | 45 | $24K |
| Morphine Sulfate | 642 | $22K |
| Oxycodone Hcl/Acetaminophen | 403 | $16K |
| Lidocaine | 40 | $15K |
| Pregabalin | 338 | $14K |
| Naloxone Hcl | 174 | $14K |
| Buprenorphine | 23 | $12K |
| Gabapentin | 322 | $8,703 |
| Oxycodone Hcl | 277 | $8,023 |
| Omeprazole | 292 | $7,490 |
Prescribing Profile
47
Unique Drugs
41.0
Anomaly Score
Patient Profile
66
Avg Age
65%
Female
1.67
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