⚠️

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 →

Robert HigginsonP.A.

Physician Assistant · Richmond, VA 23298

NPI: 1619053659

Share:

30

🟠 Elevated

Risk Flags

Extreme cost outlier (population + peer)Extreme brand-name preferenceHigh long-acting opioid rate vs peersHigh fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

4,641

Total Claims

$7.4M

Drug Cost

174

Beneficiaries

$42K

Cost/Patient

Risk Score Breakdown 30/100

Low (0)Moderate (15)Elevated (30)High (50+)
Cost per patient outlier+10
Brand-name preference+8
Long-acting opioid rate+8
High fills per patient+3

Score components are additive. Read full methodology

Peer Comparison vs. 109,535 Physician Assistant providers

-84%

Opioid rate vs peers

1.5% vs 9.2% avg

+5798%

Cost per patient vs peers

$42K vs $719 avg

+665%

Brand preference vs peers

50.9% vs 6.7% avg

⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.

🔎 Data Overview

💰

Cost per patient is 5798% 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

1.5%

Opioid Rate

69

Opioid Claims

$2,064

Opioid Cost

24.6%

Long-Acting Rate

Brand vs Generic

49% generic

Brand: 2,353 claims · $7.2M

Generic: 2,274 claims · $188K

Patient Profile

61

Avg Age

13%

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