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
158
Total Claims
$8,208
Drug Cost
65
Beneficiaries
$126
Cost/Patient
Risk Score Breakdown 35/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+685%
Opioid rate vs peers
72.2% vs 9.2% avg
-82%
Cost per patient vs peers
$126 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 685% 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
72.2%
Opioid Rate
114
Opioid Claims
$6,114
Opioid Cost
21.9%
Long-Acting Rate
This provider's opioid prescribing rate of 72.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 152 claims · $3,945
Patient Profile
68
Avg Age
51%
Female
3.33
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