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 →43
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
3,338
Total Claims
$452K
Drug Cost
717
Beneficiaries
$631
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+683%
Opioid rate vs peers
72.0% vs 9.2% avg
-12%
Cost per patient vs peers
$631 vs $719 avg
+99%
Brand preference vs peers
13.2% 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 683% 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
72.0%
Opioid Rate
2,402
Opioid Claims
$367K
Opioid Cost
27.7%
Long-Acting Rate
This provider's opioid prescribing rate of 72.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 441 claims · $333K
Generic: 2,897 claims · $119K
Patient Profile
67
Avg Age
66%
Female
1.74
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