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 →43
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
4,731
Total Claims
$345K
Drug Cost
534
Beneficiaries
$647
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+664%
Opioid rate vs peers
70.3% vs 9.2% avg
-10%
Cost per patient vs peers
$647 vs $719 avg
+65%
Brand preference vs peers
11.0% vs 6.7% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
70.3%
Opioid Rate
3,324
Opioid Claims
$270K
Opioid Cost
25.8%
Long-Acting Rate
This provider's opioid prescribing rate of 70.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 519 claims · $223K
Generic: 4,212 claims · $122K
Patient Profile
70
Avg Age
67%
Female
1.72
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