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
3,173
Total Claims
$523K
Drug Cost
118
Beneficiaries
$4,430
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+441%
Opioid rate vs peers
49.7% vs 9.2% avg
+516%
Cost per patient vs peers
$4,430 vs $719 avg
+32%
Brand preference vs peers
8.8% vs 6.7% avg
🔎 Data Overview
Opioid rate is 441% above Physician Assistant peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
Cost per patient is 516% 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
49.7%
Opioid Rate
1,577
Opioid Claims
$174K
Opioid Cost
31.0%
Long-Acting Rate
This provider's opioid prescribing rate of 49.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 277 claims · $400K
Generic: 2,877 claims · $122K
Patient Profile
63
Avg Age
55%
Female
2.06
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