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
3,511
Total Claims
$358K
Drug Cost
471
Beneficiaries
$761
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+661%
Opioid rate vs peers
70.0% vs 9.2% avg
+6%
Cost per patient vs peers
$761 vs $719 avg
+25%
Brand preference vs peers
8.3% 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 661% 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
70.0%
Opioid Rate
2,456
Opioid Claims
$286K
Opioid Cost
21.5%
Long-Acting Rate
This provider's opioid prescribing rate of 70.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 292 claims · $243K
Generic: 3,219 claims · $115K
Patient Profile
70
Avg Age
63%
Female
1.60
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