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 →30
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
5,887
Total Claims
$421K
Drug Cost
199
Beneficiaries
$2,114
Cost/Patient
Risk Score Breakdown 30/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+379%
Opioid rate vs peers
44.0% vs 9.2% avg
+194%
Cost per patient vs peers
$2,114 vs $719 avg
-7%
Brand preference vs peers
6.2% vs 6.7% avg
🔎 Data Overview
Opioid rate is 379% above Physician Assistant peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
44.0%
Opioid Rate
2,591
Opioid Claims
$305K
Opioid Cost
32.5%
Long-Acting Rate
This provider's opioid prescribing rate of 44.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 364 claims · $278K
Generic: 5,523 claims · $143K
Patient Profile
64
Avg Age
60%
Female
1.89
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