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
149
Total Claims
$578
Drug Cost
118
Beneficiaries
$5
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+740%
Opioid rate vs peers
77.2% vs 9.2% avg
-99%
Cost per patient vs peers
$5 vs $719 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 740% above the average for Physician Assistant providers. While some providers legitimately treat pain-heavy populations, deviations of this magnitude are rare and warrant examination.
Prescribes only 3 unique drugs with a 77.2% opioid rate. Very low drug diversity combined with high opioid prescribing is a classic statistical marker of potential pill mill operations. However, some legitimate practices (e.g., addiction treatment with buprenorphine) can show similar patterns.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
77.2%
Opioid Rate
115
Opioid Claims
$382
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 77.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 147 claims · $573
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Hcl | 86 | $251 |
| Hydrocodone/Acetaminophen | 17 | $93 |
| Meloxicam | 11 | $35 |
Prescribing Profile
3
Unique Drugs
33.0
Anomaly Score
Patient Profile
72
Avg Age
65%
Female
1.20
Avg Risk Score
Explore More
Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations of wrongdoing.Methodology · About · Dispute this data