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 →38
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
2,335
Total Claims
$172K
Drug Cost
267
Beneficiaries
$644
Cost/Patient
Risk Score Breakdown 38/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+630%
Opioid rate vs peers
67.1% vs 9.2% avg
-10%
Cost per patient vs peers
$644 vs $719 avg
+27%
Brand preference vs peers
8.4% vs 6.7% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
67.1%
Opioid Rate
1,567
Opioid Claims
$144K
Opioid Cost
20.7%
Long-Acting Rate
This provider's opioid prescribing rate of 67.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 197 claims · $96K
Generic: 2,138 claims · $76K
Patient Profile
66
Avg Age
58%
Female
1.64
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