⚠️

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 →

Carlos PencePA-C

Physician Assistant · Sun City West, AZ 85375

NPI: 1477839041

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37

🟠 Elevated

Risk Flags

Very high opioid rate vs specialty peers95th percentile opioid prescribingElevated long-acting opioid rate

Risk indicators are statistical patterns, not allegations. Learn more

5,445

Total Claims

$287K

Drug Cost

879

Beneficiaries

$327

Cost/Patient

Risk Score Breakdown 37/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate vs specialty peers+18
Opioid rate (national percentile)+10
Long-acting opioid rate+4

Score components are additive. Read full methodology

Peer Comparison vs. 109,535 Physician Assistant providers

+565%

Opioid rate vs peers

61.1% vs 9.2% avg

-55%

Cost per patient vs peers

$327 vs $719 avg

-31%

Brand preference vs peers

4.6% vs 6.7% avg

⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.

Opioid Prescribing

61.1%

Opioid Rate

3,327

Opioid Claims

$189K

Opioid Cost

11.9%

Long-Acting Rate

This provider's opioid prescribing rate of 61.1% is above the 20% threshold that CMS considers elevated.

Brand vs Generic

95% generic

Brand: 251 claims · $143K

Generic: 5,194 claims · $144K

Patient Profile

73

Avg Age

68%

Female

1.69

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