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
6,057
Total Claims
$526K
Drug Cost
105
Beneficiaries
$5,006
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
-68%
Opioid rate vs peers
3.0% vs 9.2% avg
+596%
Cost per patient vs peers
$5,006 vs $719 avg
+190%
Brand preference vs peers
19.3% vs 6.7% avg
🔎 Data Overview
Cost per patient is 596% above the specialty average. Extreme cost outliers may indicate prescribing of unnecessarily expensive brand-name drugs or inappropriate drug utilization.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
3.0%
Opioid Rate
180
Opioid Claims
$18K
Opioid Cost
38.9%
Long-Acting Rate
Brand vs Generic
Brand: 1,168 claims · $341K
Generic: 4,889 claims · $185K
Patient Profile
82
Avg Age
75%
Female
2.12
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