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 →29
🟡 Moderate
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
475
Total Claims
$924K
Drug Cost
59
Beneficiaries
$16K
Cost/Patient
Risk Score Breakdown 29/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+370%
Opioid rate vs peers
43.2% vs 9.2% avg
+2077%
Cost per patient vs peers
$16K vs $719 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
🔎 Data Overview
Opioid rate is 370% above Physician Assistant peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
Cost per patient is 2077% above the specialty average. Extreme cost outliers may indicate prescribing of unnecessarily expensive brand-name drugs or inappropriate drug utilization.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
43.2%
Opioid Rate
205
Opioid Claims
$34K
Opioid Cost
42.0%
Long-Acting Rate
This provider's opioid prescribing rate of 43.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 376 claims · $95K
Patient Profile
66
Avg Age
75%
Female
2.38
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