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
6,923
Total Claims
$529K
Drug Cost
470
Beneficiaries
$1,126
Cost/Patient
Risk Score Breakdown 28/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+527%
Opioid rate vs peers
57.7% vs 9.2% avg
+57%
Cost per patient vs peers
$1,126 vs $719 avg
+7%
Brand preference vs peers
7.1% vs 6.7% avg
🔎 Data Overview
Opioid prescribing rate is 527% 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
57.7%
Opioid Rate
3,992
Opioid Claims
$377K
Opioid Cost
15.4%
Long-Acting Rate
This provider's opioid prescribing rate of 57.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 492 claims · $333K
Generic: 6,431 claims · $196K
Patient Profile
68
Avg Age
65%
Female
1.56
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