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
1,989
Total Claims
$155K
Drug Cost
582
Beneficiaries
$266
Cost/Patient
Risk Score Breakdown 41/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+760%
Opioid rate vs peers
79.0% vs 9.2% avg
-63%
Cost per patient vs peers
$266 vs $719 avg
+50%
Brand preference vs peers
10.0% 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 760% 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
79.0%
Opioid Rate
1,572
Opioid Claims
$121K
Opioid Cost
25.1%
Long-Acting Rate
This provider's opioid prescribing rate of 79.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 199 claims · $86K
Generic: 1,790 claims · $69K
Patient Profile
70
Avg Age
63%
Female
1.66
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