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
1,220
Total Claims
$53K
Drug Cost
162
Beneficiaries
$327
Cost/Patient
Risk Score Breakdown 41/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+736%
Opioid rate vs peers
76.8% vs 9.2% avg
-55%
Cost per patient vs peers
$327 vs $719 avg
-47%
Brand preference vs peers
3.5% 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 736% 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
76.8%
Opioid Rate
937
Opioid Claims
$44K
Opioid Cost
25.0%
Long-Acting Rate
This provider's opioid prescribing rate of 76.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 43 claims · $23K
Generic: 1,177 claims · $30K
Patient Profile
67
Avg Age
65%
Female
1.71
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