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
1,860
Total Claims
$189K
Drug Cost
226
Beneficiaries
$835
Cost/Patient
Risk Score Breakdown 41/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+746%
Opioid rate vs peers
77.8% vs 9.2% avg
+16%
Cost per patient vs peers
$835 vs $719 avg
+66%
Brand preference vs peers
11.0% 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 746% 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
77.8%
Opioid Rate
1,447
Opioid Claims
$124K
Opioid Cost
20.1%
Long-Acting Rate
This provider's opioid prescribing rate of 77.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 205 claims · $129K
Generic: 1,655 claims · $60K
Patient Profile
66
Avg Age
60%
Female
1.72
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