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
5,577
Total Claims
$346K
Drug Cost
431
Beneficiaries
$802
Cost/Patient
Risk Score Breakdown 32/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+503%
Opioid rate vs peers
55.5% vs 9.2% avg
+12%
Cost per patient vs peers
$802 vs $719 avg
-40%
Brand preference vs peers
4.0% vs 6.7% avg
🔎 Data Overview
Opioid prescribing rate is 503% 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
55.5%
Opioid Rate
3,093
Opioid Claims
$168K
Opioid Cost
22.1%
Long-Acting Rate
This provider's opioid prescribing rate of 55.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 224 claims · $124K
Generic: 5,353 claims · $221K
Patient Profile
66
Avg Age
65%
Female
1.69
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