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
7,784
Total Claims
$1.6M
Drug Cost
375
Beneficiaries
$4,398
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+485%
Opioid rate vs peers
53.8% vs 9.2% avg
+512%
Cost per patient vs peers
$4,398 vs $719 avg
+157%
Brand preference vs peers
17.1% vs 6.7% avg
🔎 Data Overview
Opioid rate is 485% above Physician Assistant peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
Cost per patient is 512% above the specialty average. Extreme cost outliers may indicate prescribing of unnecessarily expensive brand-name drugs or inappropriate drug utilization.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
53.8%
Opioid Rate
4,188
Opioid Claims
$791K
Opioid Cost
27.9%
Long-Acting Rate
This provider's opioid prescribing rate of 53.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 1,330 claims · $1.2M
Generic: 6,454 claims · $490K
Patient Profile
62
Avg Age
71%
Female
1.70
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