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
465
Total Claims
$61K
Drug Cost
143
Beneficiaries
$427
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+597%
Opioid rate vs peers
64.1% vs 9.2% avg
-41%
Cost per patient vs peers
$427 vs $719 avg
+117%
Brand preference vs peers
14.4% vs 6.7% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
64.1%
Opioid Rate
298
Opioid Claims
$49K
Opioid Cost
32.9%
Long-Acting Rate
This provider's opioid prescribing rate of 64.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 67 claims · $47K
Generic: 398 claims · $15K
Patient Profile
67
Avg Age
60%
Female
1.62
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