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
5,658
Total Claims
$404K
Drug Cost
326
Beneficiaries
$1,238
Cost/Patient
Risk Score Breakdown 41/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+569%
Opioid rate vs peers
61.5% vs 9.2% avg
+72%
Cost per patient vs peers
$1,238 vs $719 avg
+7%
Brand preference vs peers
7.1% vs 6.7% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
61.5%
Opioid Rate
3,477
Opioid Claims
$284K
Opioid Cost
22.7%
Long-Acting Rate
This provider's opioid prescribing rate of 61.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 403 claims · $173K
Generic: 5,255 claims · $231K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Hcl | 2,380 | $77K |
| Oxycodone Hcl | 137 | $66K |
| Oxycodone Hcl/Acetaminophen | 12 | $37K |
| Oxycodone Myristate | 67 | $29K |
| Pregabalin | 12 | $13K |
| Pregabalin | 333 | $12K |
| Diclofenac Sodium | 90 | $12K |
| Fentanyl | 114 | $12K |
| Lidocaine | 58 | $12K |
| Buprenorphine | 11 | $11K |
| Oxymorphone Hcl | 34 | $11K |
| Sumatriptan | 15 | $11K |
| Linaclotide | 19 | $11K |
| Gabapentin | 425 | $11K |
| Oxycodone Hcl/Acetaminophen | 122 | $6,941 |
Prescribing Profile
36
Unique Drugs
41.0
Anomaly Score
Patient Profile
60
Avg Age
58%
Female
1.47
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