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
1,468
Total Claims
$130K
Drug Cost
305
Beneficiaries
$427
Cost/Patient
Risk Score Breakdown 41/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+646%
Opioid rate vs peers
68.6% vs 9.2% avg
-41%
Cost per patient vs peers
$427 vs $719 avg
+61%
Brand preference vs peers
10.7% 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 646% 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
68.6%
Opioid Rate
1,007
Opioid Claims
$86K
Opioid Cost
25.5%
Long-Acting Rate
This provider's opioid prescribing rate of 68.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 157 claims · $70K
Generic: 1,311 claims · $60K
Patient Profile
67
Avg Age
64%
Female
1.75
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