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
925
Total Claims
$61K
Drug Cost
197
Beneficiaries
$308
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+559%
Opioid rate vs peers
60.5% vs 9.2% avg
-57%
Cost per patient vs peers
$308 vs $719 avg
-17%
Brand preference vs peers
5.5% vs 6.7% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
60.5%
Opioid Rate
560
Opioid Claims
$48K
Opioid Cost
17.1%
Long-Acting Rate
This provider's opioid prescribing rate of 60.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 51 claims · $31K
Generic: 874 claims · $30K
Patient Profile
69
Avg Age
60%
Female
1.20
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