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
6,304
Total Claims
$371K
Drug Cost
621
Beneficiaries
$597
Cost/Patient
Risk Score Breakdown 32/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+476%
Opioid rate vs peers
52.9% vs 9.2% avg
-17%
Cost per patient vs peers
$597 vs $719 avg
-4%
Brand preference vs peers
6.4% vs 6.7% avg
🔎 Data Overview
Opioid rate is 476% 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
52.9%
Opioid Rate
3,337
Opioid Claims
$180K
Opioid Cost
17.4%
Long-Acting Rate
This provider's opioid prescribing rate of 52.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 401 claims · $206K
Generic: 5,903 claims · $164K
Patient Profile
65
Avg Age
71%
Female
1.69
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