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
11,056
Total Claims
$289K
Drug Cost
1,239
Beneficiaries
$233
Cost/Patient
Risk Score Breakdown 6/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+327%
Opioid rate vs peers
39.3% vs 9.2% avg
-68%
Cost per patient vs peers
$233 vs $719 avg
🔎 Data Overview
Opioid rate is 327% above Physician Assistant peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
39.3%
Opioid Rate
4,343
Opioid Claims
$118K
Opioid Cost
3.0%
Long-Acting Rate
This provider's opioid prescribing rate of 39.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 10,970 claims · $272K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Hydrocodone/Acetaminophen | 2,610 | $55K |
| Diclofenac Sodium | 900 | $33K |
| Gabapentin | 1,868 | $28K |
| Naloxone Hcl | 309 | $24K |
| Pregabalin | 550 | $22K |
| Lidocaine | 234 | $21K |
| Oxycodone Hcl/Acetaminophen | 491 | $17K |
| Tizanidine Hcl | 934 | $9,849 |
| Duloxetine Hcl | 242 | $7,930 |
| Naloxegol Oxalate | 12 | $5,058 |
| Buprenorphine | 11 | $4,322 |
| Cyclobenzaprine Hcl | 423 | $4,247 |
| Acetaminophen With Codeine | 431 | $4,179 |
| Baclofen | 236 | $3,505 |
| Ibuprofen | 421 | $3,429 |
Prescribing Profile
29
Unique Drugs
6.0
Anomaly Score
Patient Profile
69
Avg Age
63%
Female
1.89
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 of wrongdoing.Methodology · About · Dispute this data