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
4,799
Total Claims
$453K
Drug Cost
398
Beneficiaries
$1,137
Cost/Patient
Risk Score Breakdown 38/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+547%
Opioid rate vs peers
59.4% vs 9.2% avg
+58%
Cost per patient vs peers
$1,137 vs $719 avg
+52%
Brand preference vs peers
10.1% 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 547% 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
59.4%
Opioid Rate
2,852
Opioid Claims
$384K
Opioid Cost
32.0%
Long-Acting Rate
This provider's opioid prescribing rate of 59.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 485 claims · $279K
Generic: 4,314 claims · $174K
Patient Profile
63
Avg Age
66%
Female
1.78
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