Opioid Prescribing in Medicare Part D

A complete analysis of opioid prescribing patterns across 1,380,665 Medicare Part D prescribers in 2023.

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450,343

Opioid Prescribers

113,169

High Rate (>20%)

32.6%

% of All Prescribers

1,380,665

Total Prescribers

Opioid Prescribing by State

#	State	Prescribers	Opioid Prescribers	% Prescribing	Avg Opioid Rate	High Rate
1	Armed Forces Pacific	99	28	28.3%	25.1%	13
2	Foreign/Unknown	147	30	20.4%	21.2%	12
3	Unknown	34	6	17.6%	17.7%	2
4	Utah	11,191	4,074	36.4%	17.1%	1,343
5	Colorado	23,912	8,983	37.6%	17.1%	2,670
6	Missouri	25,377	8,595	33.9%	17.0%	2,493
7	Alabama	17,811	6,422	36.1%	16.6%	2,064
8	Armed Forces Europe	120	33	27.5%	16.4%	10
9	Arizona	29,429	9,285	31.6%	16.0%	2,548
10	District of Columbia	5,191	999	19.2%	16.0%	296
11	Kansas	11,495	4,775	41.5%	15.8%	1,249
12	Louisiana	20,543	7,270	35.4%	15.7%	2,195
13	Maryland	26,786	7,454	27.8%	15.6%	2,039
14	Ohio	53,444	18,527	34.7%	15.6%	5,139
15	Idaho	7,492	3,020	40.3%	15.6%	792
16	Indiana	26,170	10,363	39.6%	15.6%	2,683
17	Alaska	3,054	910	29.8%	15.4%	253
18	South Dakota	4,029	1,537	38.1%	15.4%	406
19	Connecticut	19,551	5,484	28%	15.3%	1,545
20	Delaware	4,341	1,332	30.7%	15.1%	347
21	Oregon	19,079	7,662	40.2%	15.0%	1,918
22	Washington	32,568	11,510	35.3%	15.0%	2,929
23	Minnesota	25,375	9,098	35.9%	15.0%	2,322
24	Michigan	46,434	17,242	37.1%	14.9%	4,258
25	Tennessee	29,129	11,282	38.7%	14.9%	3,091
26	Nevada	10,293	3,317	32.2%	14.9%	831
27	Wisconsin	25,408	9,671	38.1%	14.8%	2,367
28	Oklahoma	14,030	4,943	35.2%	14.8%	1,216
29	Mississippi	10,666	4,401	41.3%	14.8%	1,232
30	Nebraska	8,338	3,081	37%	14.8%	790

Highest Opioid Prescribing Rates

High opioid prescribing rates may reflect legitimate pain management specialization. Context matters.

Provider	Specialty	Location	Opioid Rate	Opioid Claims	Total Claims
Cory CarlstonM.D.	Hand Surgery	Portland, OR	80.7%	N/A	212
Tyler MartinNP	Nurse Practitioner	Boston, MA	79.4%	N/A	2,720
Matthew TweetMD	Orthopedic Surgery	Sacramento, CA	78.1%	N/A	237
Jonathan RiggsPA	Physician Assistant	Vancouver, WA	77.2%	N/A	149
Ali KassamaliM.D.	Pain Management	Marietta, GA	77.0%	N/A	4,778
Laura HafertepenDO	General Surgery	Greenwood Village, CO	77.0%	N/A	139
Ryan ZitzkeM.D.	Orthopedic Surgery	Sumter, SC	70.2%	N/A	114
Nathan PolleyMD	Orthopedic Surgery	Madison, IN	70.1%	N/A	384
Angela SedaM.D.	Surgical Oncology	Arlington, TX	69.3%	N/A	114
Tracye LawyerMD, PHD	Orthopedic Surgery	Boise, ID	67.0%	N/A	270
Salim DurraniMD	Pain Management	Houston, TX	65.6%	N/A	5,994
Venkatesh SundararajanM.D.	Pain Management	Horsham, PA	63.2%	N/A	1,964
Marcus GatesMD	Neurosurgery	Austell, GA	62.7%	N/A	158
Troy BabbDDS	Dentist	Alexandria, LA	62.0%	N/A	142
Eduardo OzunaM.D.	Pain Management	New Braunfels, TX	60.8%	N/A	953
Violeta Calhoun-StandleyARNP	Nurse Practitioner	Naples, FL	60.1%	N/A	762
Andy PhungD.O.	Family Practice	High Point, NC	59.5%	N/A	3,636
Joseph KwokD.O.	Physical Medicine and Rehabilitation	Pittsburgh, PA	58.1%	N/A	893
Stephanie PearsonM.D.	Physical Medicine and Rehabilitation	San Antonio, TX	57.6%	N/A	6,060
Shashikant PatilM.D	Neurosurgery	Athens, GA	57.5%	N/A	402
Olugbemiga JegedeM.D	Internal Medicine	Greensboro, NC	56.6%	N/A	159
Irene BorjaFNP-BC	Nurse Practitioner	Syracuse, NY	56.4%	N/A	181
Trevor MciverMD	Orthopedic Surgery	Sartell, MN	56.0%	N/A	250
Aisha Baqai	Pain Management	New York, NY	55.3%	N/A	1,835
Helen OllerM.D.	Physical Medicine and Rehabilitation	New York, NY	54.5%	N/A	244
Vijian DhevanM.D.	General Surgery	Harlingen, TX	53.2%	N/A	479
Sheena ZapataM.D.	Hospice and Palliative Care	Miami, FL	53.2%	N/A	1,043
Rachel PayneNP	Nurse Practitioner	Knoxville, TN	52.3%	N/A	2,895
Lindsay WilsonDO	Family Practice	Roanoke, VA	51.5%	N/A	1,003
Mario QuesadaM.D.	Orthopedic Surgery	Brownsville, TX	51.2%	N/A	615
Charles StevensM.D.	Pain Management	El Centro, CA	51.2%	N/A	5,792
Sean LeahyPA-C	Physician Assistant	Albany, NY	51.0%	N/A	367
Meredith McamisPA-C	Physician Assistant	Springfield, MO	50.7%	N/A	274
Joseph BowenM.D.	Orthopedic Surgery	Post Falls, ID	49.1%	N/A	226
Paul LeeM.D.	Interventional Pain Management	Fullerton, CA	47.6%	N/A	991
Carina JackmanM.D.	Anesthesiology	Milwaukee, WI	47.1%	N/A	102
Suzanne ManziM.D., FAAPMR	Physical Medicine and Rehabilitation	Houston, TX	46.7%	N/A	1,299
Michael SchinaM.D.	General Surgery	Bensalem, PA	46.0%	N/A	5,896
Justin MillerPA	Physician Assistant	Grand Rapids, MI	45.6%	N/A	520
Rashid KhalilM.D.	Anesthesiology	Toledo, OH	45.6%	N/A	1,865
Abdul SayedPA-C	Physician Assistant	New Hyde Park, NY	45.3%	N/A	2,258
Geraldine Deguzman-JavierRPAC	Physician Assistant	New York, NY	44.8%	N/A	174
Leah CandellMD	General Surgery	Stanford, CA	43.8%	N/A	176
Carie BradtRPA-C	Physician Assistant	Rochester, NY	43.6%	N/A	211
Stacy BeharryPA-C	Physician Assistant	Englewood, CO	43.5%	N/A	767
Michael NecciD.O.	Orthopedic Surgery	Alliance, OH	43.4%	N/A	488
Patrick DavisM.D.	General Surgery	Nashville, TN	43.2%	N/A	132
Sidney BruceMD	General Surgery	Lafayette, IN	42.9%	N/A	231
Brad ThomasMD	Neurosurgery	Little Rock, AR	42.6%	N/A	1,311
Alecia NeroM.D.	Hematology	Dallas, TX	42.5%	N/A	179