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
174
Total Claims
$293K
Drug Cost
14
Beneficiaries
$21K
Cost/Patient
Risk Score Breakdown 34/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+488%
Opioid rate vs peers
54.0% vs 9.2% avg
+2813%
Cost per patient vs peers
$21K vs $719 avg
+297%
Brand preference vs peers
26.4% 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 rate is 488% above Physician Assistant peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
Cost per patient is 2813% above the specialty average. Extreme cost outliers may indicate prescribing of unnecessarily expensive brand-name drugs or inappropriate drug utilization.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
54.0%
Opioid Rate
94
Opioid Claims
$18K
Opioid Cost
40.4%
Long-Acting Rate
This provider's opioid prescribing rate of 54.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 46 claims · $278K
Generic: 128 claims · $16K
Patient Profile
44
Avg Age
—
Female
4.56
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