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
7,167
Total Claims
$1.1M
Drug Cost
717
Beneficiaries
$1,542
Cost/Patient
Risk Score Breakdown 47/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+663%
Opioid rate vs peers
70.1% vs 9.2% avg
+114%
Cost per patient vs peers
$1,542 vs $719 avg
+79%
Brand preference vs peers
11.9% 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 663% 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
70.1%
Opioid Rate
5,026
Opioid Claims
$999K
Opioid Cost
34.9%
Long-Acting Rate
This provider's opioid prescribing rate of 70.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 851 claims · $788K
Generic: 6,316 claims · $318K
Patient Profile
65
Avg Age
66%
Female
1.71
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