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
207
Total Claims
$3,608
Drug Cost
93
Beneficiaries
$39
Cost/Patient
Risk Score Breakdown 14/100
Score components are additive. Read full methodology
Peer Comparison vs. 3,186 Anesthesiology providers
-11%
Opioid rate vs peers
30.9% vs 34.8% avg
-91%
Cost per patient vs peers
$39 vs $422 avg
⚠️ Opioid + Benzodiazepine Co-Prescriber
This provider prescribes both opioids and benzodiazepines. The FDA has issued a Black Box Warning about the life-threatening risks of concurrent use.
🔎 Data Overview
This provider co-prescribes opioids and benzodiazepines — a combination carrying an FDA Black Box Warning due to increased risk of respiratory depression and death. While sometimes clinically necessary, this combination requires careful justification.
Prescribes only 4 unique drugs with a 30.9% opioid rate. Very low drug diversity combined with high opioid prescribing is a classic statistical marker of potential pill mill operations. However, some legitimate practices (e.g., addiction treatment with buprenorphine) can show similar patterns.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
30.9%
Opioid Rate
64
Opioid Claims
$1,878
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 30.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 205 claims · $3,379
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Hydrocodone/Acetaminophen | 52 | $1,493 |
| Cephalexin | 89 | $1,001 |
| Gabapentin | 24 | $441 |
| Alprazolam | 12 | $39 |
Prescribing Profile
4
Unique Drugs
14.0
Anomaly Score
Patient Profile
76
Avg Age
63%
Female
1.55
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.Methodology · About