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 →32
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
6,129
Total Claims
$288K
Drug Cost
325
Beneficiaries
$886
Cost/Patient
Risk Score Breakdown 32/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+415%
Opioid rate vs peers
47.3% vs 9.2% avg
+23%
Cost per patient vs peers
$886 vs $719 avg
-31%
Brand preference vs peers
4.6% vs 6.7% avg
Opioid Prescribing
47.3%
Opioid Rate
2,899
Opioid Claims
$124K
Opioid Cost
17.3%
Long-Acting Rate
This provider's opioid prescribing rate of 47.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 280 claims · $119K
Generic: 5,849 claims · $169K
Patient Profile
67
Avg Age
60%
Female
1.76
Avg Risk Score
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Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About