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 →36
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
300
Total Claims
$17K
Drug Cost
121
Beneficiaries
$137
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+585%
Opioid rate vs peers
63.0% vs 9.2% avg
-81%
Cost per patient vs peers
$137 vs $719 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
63.0%
Opioid Rate
189
Opioid Claims
$10K
Opioid Cost
16.9%
Long-Acting Rate
This provider's opioid prescribing rate of 63.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 290 claims · $12K
Patient Profile
66
Avg Age
65%
Female
1.84
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