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
1,535
Total Claims
$741K
Drug Cost
149
Beneficiaries
$4,973
Cost/Patient
Risk Score Breakdown 34/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+464%
Opioid rate vs peers
51.9% vs 9.2% avg
+592%
Cost per patient vs peers
$4,973 vs $719 avg
🔎 Data Overview
Opioid rate is 464% above Physician Assistant peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
Cost per patient is 592% above the specialty average. Extreme cost outliers may indicate prescribing of unnecessarily expensive brand-name drugs or inappropriate drug utilization.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
51.9%
Opioid Rate
796
Opioid Claims
$131K
Opioid Cost
37.3%
Long-Acting Rate
This provider's opioid prescribing rate of 51.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 1,242 claims · $171K
Patient Profile
50
Avg Age
58%
Female
3.89
Avg Risk Score
Explore More
Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About