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
5,464
Total Claims
$451K
Drug Cost
740
Beneficiaries
$610
Cost/Patient
Risk Score Breakdown 37/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+601%
Opioid rate vs peers
64.4% vs 9.2% avg
-15%
Cost per patient vs peers
$610 vs $719 avg
-14%
Brand preference vs peers
5.7% 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 601% 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
64.4%
Opioid Rate
3,518
Opioid Claims
$349K
Opioid Cost
12.0%
Long-Acting Rate
This provider's opioid prescribing rate of 64.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 311 claims · $171K
Generic: 5,153 claims · $280K
Patient Profile
64
Avg Age
59%
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