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
4,259
Total Claims
$220K
Drug Cost
473
Beneficiaries
$465
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+651%
Opioid rate vs peers
69.0% vs 9.2% avg
-35%
Cost per patient vs peers
$465 vs $719 avg
-50%
Brand preference vs peers
3.3% 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 651% 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
69.0%
Opioid Rate
2,938
Opioid Claims
$155K
Opioid Cost
23.1%
Long-Acting Rate
This provider's opioid prescribing rate of 69.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 141 claims · $104K
Generic: 4,118 claims · $116K
Patient Profile
69
Avg Age
61%
Female
1.70
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