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
5,921
Total Claims
$556K
Drug Cost
408
Beneficiaries
$1,362
Cost/Patient
Risk Score Breakdown 51/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+620%
Opioid rate vs peers
66.2% vs 9.2% avg
+89%
Cost per patient vs peers
$1,362 vs $719 avg
+17%
Brand preference vs peers
7.8% vs 6.7% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
⚠️ 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.
Opioid Prescribing
66.2%
Opioid Rate
3,919
Opioid Claims
$339K
Opioid Cost
20.2%
Long-Acting Rate
This provider's opioid prescribing rate of 66.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 459 claims · $297K
Generic: 5,462 claims · $258K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Hcl | 128 | $99K |
| Hydrocodone/Acetaminophen | 1,216 | $49K |
| Oxycodone Hcl | 836 | $41K |
| Oxycodone Hcl/Acetaminophen | 805 | $38K |
| Rimegepant Sulfate | 11 | $37K |
| Linaclotide | 40 | $29K |
| Oxycodone Myristate | 21 | $21K |
| Fentanyl | 139 | $17K |
| Morphine Sulfate | 319 | $14K |
| Diclofenac Sodium | 114 | $13K |
| Naloxegol Oxalate | 26 | $13K |
| Oxymorphone Hcl | 26 | $13K |
| Hydrocodone Bitartrate | 12 | $12K |
| Pregabalin | 173 | $11K |
| Suvorexant | 22 | $9,858 |
Prescribing Profile
48
Unique Drugs
51.0
Anomaly Score
Patient Profile
65
Avg Age
70%
Female
1.86
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