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
7,277
Total Claims
$1.1M
Drug Cost
826
Beneficiaries
$1,360
Cost/Patient
Risk Score Breakdown 41/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+577%
Opioid rate vs peers
62.2% vs 9.2% avg
+89%
Cost per patient vs peers
$1,360 vs $719 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 577% 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
62.2%
Opioid Rate
4,525
Opioid Claims
$845K
Opioid Cost
38.7%
Long-Acting Rate
This provider's opioid prescribing rate of 62.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 6,122 claims · $350K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Myristate | 444 | $343K |
| Oxycodone Hcl/Acetaminophen | 732 | $97K |
| Oxycodone Hcl | 132 | $95K |
| Buprenorphine Hcl | 94 | $78K |
| Buprenorphine | 178 | $68K |
| Lidocaine | 54 | $51K |
| Tapentadol Hcl | 33 | $41K |
| Buprenorphine Hcl/Naloxone Hcl | 150 | $37K |
| Naloxegol Oxalate | 76 | $36K |
| Linaclotide | 46 | $31K |
| Oxycodone Hcl | 1,409 | $28K |
| Fentanyl | 130 | $19K |
| Morphine Sulfate | 529 | $17K |
| Hydrocodone/Acetaminophen | 360 | $12K |
| Hydromorphone Hcl | 22 | $11K |
Prescribing Profile
42
Unique Drugs
41.0
Anomaly Score
Patient Profile
64
Avg Age
64%
Female
1.97
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