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
7,061
Total Claims
$1.4M
Drug Cost
252
Beneficiaries
$5,415
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
-87%
Opioid rate vs peers
1.2% vs 9.2% avg
+653%
Cost per patient vs peers
$5,415 vs $719 avg
+223%
Brand preference vs peers
21.5% vs 6.7% avg
🔎 Data Overview
Cost per patient is 653% 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
1.2%
Opioid Rate
87
Opioid Claims
$2,053
Opioid Cost
31.0%
Long-Acting Rate
Brand vs Generic
Brand: 1,499 claims · $1.2M
Generic: 5,483 claims · $208K
Patient Profile
68
Avg Age
56%
Female
1.55
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