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
1,835
Total Claims
$155K
Drug Cost
185
Beneficiaries
$837
Cost/Patient
Risk Score Breakdown 14/100
Score components are additive. Read full methodology
Peer Comparison vs. 2,621 Pain Management providers
+34%
Opioid rate vs peers
55.3% vs 41.3% avg
+110%
Cost per patient vs peers
$837 vs $399 avg
+205%
Brand preference vs peers
11.4% vs 3.8% avg
Opioid Prescribing
55.3%
Opioid Rate
1,015
Opioid Claims
$101K
Opioid Cost
45.1%
Long-Acting Rate
This provider's opioid prescribing rate of 55.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 210 claims · $61K
Generic: 1,625 claims · $94K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Hcl | 45 | $31K |
| Fentanyl | 190 | $22K |
| Pregabalin | 279 | $16K |
| Oxycodone Hcl/Acetaminophen | 34 | $11K |
| Oxycodone Hcl | 220 | $9,610 |
| Lidocaine | 53 | $6,153 |
| Buprenorphine | 15 | $5,683 |
| Gabapentin | 190 | $4,014 |
| Hydromorphone Hcl | 198 | $3,991 |
| Hydromorphone Hcl | 19 | $3,788 |
| Naloxone Hcl | 47 | $3,519 |
| Duloxetine Hcl | 106 | $3,279 |
| Methadone Hcl | 138 | $2,666 |
| Tramadol Hcl | 13 | $1,475 |
| Baclofen | 49 | $1,440 |
Prescribing Profile
18
Unique Drugs
14.0
Anomaly Score
Patient Profile
71
Avg Age
51%
Female
3.10
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