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
2,029
Total Claims
$205K
Drug Cost
197
Beneficiaries
$1,041
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+710%
Opioid rate vs peers
74.5% vs 9.2% avg
+45%
Cost per patient vs peers
$1,041 vs $719 avg
+59%
Brand preference vs peers
10.6% 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 710% 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
74.5%
Opioid Rate
1,511
Opioid Claims
$191K
Opioid Cost
44.9%
Long-Acting Rate
This provider's opioid prescribing rate of 74.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 215 claims · $140K
Generic: 1,814 claims · $65K
Patient Profile
68
Avg Age
65%
Female
1.84
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