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
1,431
Total Claims
$102K
Drug Cost
70
Beneficiaries
$1,458
Cost/Patient
Risk Score Breakdown 44/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+877%
Opioid rate vs peers
89.8% vs 9.2% avg
+103%
Cost per patient vs peers
$1,458 vs $719 avg
+129%
Brand preference vs peers
15.2% 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 877% 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
89.8%
Opioid Rate
1,285
Opioid Claims
$90K
Opioid Cost
23.0%
Long-Acting Rate
This provider's opioid prescribing rate of 89.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 218 claims · $77K
Generic: 1,213 claims · $25K
Patient Profile
64
Avg Age
61%
Female
1.49
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