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
370
Total Claims
$74K
Drug Cost
15
Beneficiaries
$4,951
Cost/Patient
Risk Score Breakdown 37/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+432%
Opioid rate vs peers
48.9% vs 9.2% avg
+588%
Cost per patient vs peers
$4,951 vs $719 avg
+266%
Brand preference vs peers
24.3% vs 6.7% avg
🔎 Data Overview
Opioid rate is 432% above Physician Assistant peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
Cost per patient is 588% above the specialty average. Extreme cost outliers may indicate prescribing of unnecessarily expensive brand-name drugs or inappropriate drug utilization.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
48.9%
Opioid Rate
181
Opioid Claims
$42K
Opioid Cost
31.5%
Long-Acting Rate
This provider's opioid prescribing rate of 48.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 90 claims · $69K
Generic: 280 claims · $4,966
Patient Profile
65
Avg Age
—
Female
0.81
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