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 →41
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
419
Total Claims
$28K
Drug Cost
147
Beneficiaries
$193
Cost/Patient
Risk Score Breakdown 41/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+687%
Opioid rate vs peers
72.3% vs 9.2% avg
-73%
Cost per patient vs peers
$193 vs $719 avg
+44%
Brand preference vs peers
9.5% vs 6.7% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
72.3%
Opioid Rate
303
Opioid Claims
$23K
Opioid Cost
30.4%
Long-Acting Rate
This provider's opioid prescribing rate of 72.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 40 claims · $16K
Generic: 379 claims · $12K
Patient Profile
71
Avg Age
61%
Female
1.58
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