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
10,152
Total Claims
$447K
Drug Cost
1,308
Beneficiaries
$342
Cost/Patient
Risk Score Breakdown 21/100
Score components are additive. Read full methodology
Peer Comparison vs. 2,621 Pain Management providers
+58%
Opioid rate vs peers
65.1% vs 41.3% avg
-14%
Cost per patient vs peers
$342 vs $399 avg
-32%
Brand preference vs peers
2.6% vs 3.8% 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.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
65.1%
Opioid Rate
6,604
Opioid Claims
$318K
Opioid Cost
6.6%
Long-Acting Rate
This provider's opioid prescribing rate of 65.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 261 claims · $108K
Generic: 9,891 claims · $339K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Hydrocodone/Acetaminophen | 2,771 | $79K |
| Oxycodone Hcl/Acetaminophen | 1,756 | $72K |
| Oxycodone Hcl/Acetaminophen | 17 | $41K |
| Oxycodone Myristate | 55 | $28K |
| Pregabalin | 833 | $25K |
| Buprenorphine Hcl/Naloxone Hcl | 90 | $19K |
| Buprenorphine Hcl/Naloxone Hcl | 38 | $19K |
| Buprenorphine | 64 | $18K |
| Tramadol Hcl | 1,217 | $15K |
| Gabapentin | 815 | $15K |
| Tapentadol Hcl | 14 | $15K |
| Buprenorphine | 11 | $11K |
| Oxycodone Hcl | 14 | $10K |
| Tramadol Hcl | 73 | $7,732 |
| Fentanyl | 28 | $5,992 |
Prescribing Profile
36
Unique Drugs
21.0
Anomaly Score
Patient Profile
72
Avg Age
68%
Female
1.42
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