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
7,251
Total Claims
$389K
Drug Cost
532
Beneficiaries
$731
Cost/Patient
Risk Score Breakdown 41/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+582%
Opioid rate vs peers
62.7% vs 9.2% avg
+2%
Cost per patient vs peers
$731 vs $719 avg
-2%
Brand preference vs peers
6.6% 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 582% 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
62.7%
Opioid Rate
4,548
Opioid Claims
$284K
Opioid Cost
19.0%
Long-Acting Rate
This provider's opioid prescribing rate of 62.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 475 claims · $191K
Generic: 6,776 claims · $198K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Myristate | 54 | $50K |
| Oxycodone Hcl | 63 | $31K |
| Hydrocodone/Acetaminophen | 989 | $26K |
| Oxycodone Hcl/Acetaminophen | 769 | $23K |
| Buprenorphine | 47 | $19K |
| Buprenorphine Hcl | 20 | $19K |
| Buprenorphine | 24 | $18K |
| Fentanyl | 206 | $15K |
| Pregabalin | 451 | $15K |
| Gabapentin | 626 | $14K |
| Tramadol Hcl | 1,073 | $13K |
| Tapentadol Hcl | 13 | $13K |
| Oxycodone Hcl | 474 | $11K |
| Buprenorphine Hcl/Naloxone Hcl | 123 | $11K |
| Naloxegol Oxalate | 22 | $10K |
Prescribing Profile
41
Unique Drugs
41.0
Anomaly Score
Patient Profile
69
Avg Age
64%
Female
1.54
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