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 →43
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
3,886
Total Claims
$225K
Drug Cost
317
Beneficiaries
$711
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+668%
Opioid rate vs peers
70.6% vs 9.2% avg
-1%
Cost per patient vs peers
$711 vs $719 avg
-10%
Brand preference vs peers
6.0% 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 668% 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
70.6%
Opioid Rate
2,742
Opioid Claims
$177K
Opioid Cost
28.2%
Long-Acting Rate
This provider's opioid prescribing rate of 70.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 233 claims · $111K
Generic: 3,653 claims · $114K
Patient Profile
68
Avg Age
63%
Female
2.01
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