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
2,798
Total Claims
$310K
Drug Cost
454
Beneficiaries
$682
Cost/Patient
Risk Score Breakdown 38/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+622%
Opioid rate vs peers
66.4% vs 9.2% avg
-5%
Cost per patient vs peers
$682 vs $719 avg
+70%
Brand preference vs peers
11.3% vs 6.7% 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 622% 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
66.4%
Opioid Rate
1,857
Opioid Claims
$232K
Opioid Cost
28.9%
Long-Acting Rate
This provider's opioid prescribing rate of 66.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 316 claims · $196K
Generic: 2,482 claims · $114K
Patient Profile
67
Avg Age
62%
Female
1.66
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