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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 →

Michael SmithPA-C

Physician Assistant · Massillon, OH 44646

NPI: 1558557546

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32

🟠 Elevated

Risk Flags

High opioid rate vs specialty peers95th percentile opioid prescribingHigh long-acting opioid rate vs peers

Risk indicators are statistical patterns, not allegations. Learn more

8,729

Total Claims

$646K

Drug Cost

657

Beneficiaries

$983

Cost/Patient

Risk Score Breakdown 32/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate vs specialty peers+10
Opioid rate (national percentile)+10
Long-acting opioid rate+8

Score components are additive. Read full methodology

Peer Comparison vs. 109,535 Physician Assistant providers

+430%

Opioid rate vs peers

48.7% vs 9.2% avg

+37%

Cost per patient vs peers

$983 vs $719 avg

+1%

Brand preference vs peers

6.7% vs 6.7% avg

Opioid Prescribing

48.7%

Opioid Rate

4,248

Opioid Claims

$451K

Opioid Cost

27.4%

Long-Acting Rate

This provider's opioid prescribing rate of 48.7% is above the 20% threshold that CMS considers elevated.

Brand vs Generic

93% generic

Brand: 587 claims · $366K

Generic: 8,142 claims · $280K

Patient Profile

69

Avg Age

60%

Female

1.89

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