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
5,994
Total Claims
$332K
Drug Cost
362
Beneficiaries
$917
Cost/Patient
Risk Score Breakdown 12/100
Score components are additive. Read full methodology
Peer Comparison vs. 2,621 Pain Management providers
+59%
Opioid rate vs peers
65.6% vs 41.3% avg
+130%
Cost per patient vs peers
$917 vs $399 avg
-21%
Brand preference vs peers
3.0% vs 3.8% avg
Opioid Prescribing
65.6%
Opioid Rate
3,932
Opioid Claims
$222K
Opioid Cost
9.2%
Long-Acting Rate
This provider's opioid prescribing rate of 65.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 177 claims · $93K
Generic: 5,817 claims · $239K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Hydrocodone/Acetaminophen | 2,395 | $89K |
| Oxycodone Hcl/Acetaminophen | 13 | $60K |
| Gabapentin | 13 | $20K |
| Oxycodone Hcl/Acetaminophen | 629 | $19K |
| Oxycodone Myristate | 24 | $14K |
| Linaclotide | 24 | $13K |
| Diclofenac Sodium | 192 | $13K |
| Pregabalin | 245 | $11K |
| Gabapentin | 433 | $7,067 |
| Tramadol Hcl | 49 | $6,124 |
| Lidocaine | 70 | $5,709 |
| Oxycodone Hcl | 252 | $5,411 |
| Buprenorphine | 16 | $4,719 |
| Morphine Sulfate | 216 | $4,619 |
| Hydromorphone Hcl | 12 | $3,662 |
Prescribing Profile
34
Unique Drugs
12.0
Anomaly Score
Patient Profile
65
Avg Age
69%
Female
2.20
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