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
5,540
Total Claims
$182K
Drug Cost
815
Beneficiaries
$224
Cost/Patient
Risk Score Breakdown 51/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+582%
Opioid rate vs peers
62.7% vs 9.2% avg
-69%
Cost per patient vs peers
$224 vs $719 avg
-70%
Brand preference vs peers
2.0% vs 6.7% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
⚠️ Opioid + Benzodiazepine Co-Prescriber
This provider prescribes both opioids and benzodiazepines. The FDA has issued a Black Box Warning about the life-threatening risks of concurrent use.
🔎 Data Overview
Opioid prescribing rate is 582% above the average for Physician Assistant providers. While some providers legitimately treat pain-heavy populations, deviations of this magnitude are rare and warrant examination.
This provider co-prescribes opioids and benzodiazepines — a combination carrying an FDA Black Box Warning due to increased risk of respiratory depression and death. While sometimes clinically necessary, this combination requires careful justification.
Composite risk score of 51/100 places this provider in the "High Risk" category — the top 0.017% of all Medicare Part D prescribers. Multiple independent risk factors are contributing simultaneously.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
62.7%
Opioid Rate
3,471
Opioid Claims
$140K
Opioid Cost
29.0%
Long-Acting Rate
This provider's opioid prescribing rate of 62.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 110 claims · $50K
Generic: 5,430 claims · $132K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Hcl | 35 | $31K |
| Hydrocodone/Acetaminophen | 1,311 | $29K |
| Fentanyl | 202 | $20K |
| Oxycodone Hcl/Acetaminophen | 574 | $16K |
| Morphine Sulfate | 517 | $13K |
| Gabapentin | 558 | $11K |
| Pregabalin | 162 | $5,615 |
| Buprenorphine | 19 | $5,362 |
| Naloxone Hcl | 42 | $3,704 |
| Tizanidine Hcl | 194 | $3,315 |
| Oxycodone Hcl | 184 | $3,198 |
| Methadone Hcl | 216 | $2,944 |
| Baclofen | 90 | $2,117 |
| Acetaminophen With Codeine | 86 | $1,701 |
| Tramadol Hcl | 236 | $1,490 |
Prescribing Profile
37
Unique Drugs
51.0
Anomaly Score
Patient Profile
69
Avg Age
69%
Female
1.69
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