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
11,347
Total Claims
$595K
Drug Cost
942
Beneficiaries
$632
Cost/Patient
Risk Score Breakdown 44/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+489%
Opioid rate vs peers
54.1% vs 9.2% avg
-12%
Cost per patient vs peers
$632 vs $719 avg
-46%
Brand preference vs peers
3.6% vs 6.7% avg
🔎 Data Overview
Opioid rate is 489% above Physician Assistant peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
54.1%
Opioid Rate
6,139
Opioid Claims
$453K
Opioid Cost
15.6%
Long-Acting Rate
This provider's opioid prescribing rate of 54.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 405 claims · $253K
Generic: 10,942 claims · $342K
Patient Profile
70
Avg Age
64%
Female
1.68
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