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
5,863
Total Claims
$534K
Drug Cost
494
Beneficiaries
$1,081
Cost/Patient
Risk Score Breakdown 32/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+512%
Opioid rate vs peers
56.3% vs 9.2% avg
+50%
Cost per patient vs peers
$1,081 vs $719 avg
+23%
Brand preference vs peers
8.2% vs 6.7% avg
🔎 Data Overview
Opioid prescribing rate is 512% 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
56.3%
Opioid Rate
3,298
Opioid Claims
$336K
Opioid Cost
21.8%
Long-Acting Rate
This provider's opioid prescribing rate of 56.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 479 claims · $270K
Generic: 5,384 claims · $264K
Patient Profile
67
Avg Age
68%
Female
1.74
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