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
1,788
Total Claims
$1.2M
Drug Cost
69
Beneficiaries
$17K
Cost/Patient
Risk Score Breakdown 41/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+500%
Opioid rate vs peers
55.1% vs 9.2% avg
+2228%
Cost per patient vs peers
$17K vs $719 avg
+211%
Brand preference vs peers
20.7% vs 6.7% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
🔎 Data Overview
Opioid rate is 500% above Physician Assistant peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
Cost per patient is 2228% 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
55.1%
Opioid Rate
986
Opioid Claims
$243K
Opioid Cost
37.3%
Long-Acting Rate
This provider's opioid prescribing rate of 55.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 370 claims · $1.1M
Generic: 1,418 claims · $85K
Patient Profile
43
Avg Age
64%
Female
4.85
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