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
5,165
Total Claims
$242K
Drug Cost
366
Beneficiaries
$661
Cost/Patient
Risk Score Breakdown 32/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+635%
Opioid rate vs peers
67.6% vs 9.2% avg
-8%
Cost per patient vs peers
$661 vs $719 avg
-46%
Brand preference vs peers
3.6% 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 635% 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
67.6%
Opioid Rate
3,490
Opioid Claims
$162K
Opioid Cost
10.5%
Long-Acting Rate
This provider's opioid prescribing rate of 67.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 187 claims · $65K
Generic: 4,978 claims · $177K
Patient Profile
68
Avg Age
65%
Female
1.42
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