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
4,124
Total Claims
$844K
Drug Cost
355
Beneficiaries
$2,379
Cost/Patient
Risk Score Breakdown 38/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+576%
Opioid rate vs peers
62.1% vs 9.2% avg
+231%
Cost per patient vs peers
$2,379 vs $719 avg
+95%
Brand preference vs peers
13.0% 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 576% 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
62.1%
Opioid Rate
2,561
Opioid Claims
$631K
Opioid Cost
30.2%
Long-Acting Rate
This provider's opioid prescribing rate of 62.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 536 claims · $390K
Generic: 3,588 claims · $454K
Patient Profile
69
Avg Age
62%
Female
1.39
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