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
5,009
Total Claims
$335K
Drug Cost
237
Beneficiaries
$1,413
Cost/Patient
Risk Score Breakdown 15/100
Score components are additive. Read full methodology
Peer Comparison vs. 2,621 Pain Management providers
+63%
Opioid rate vs peers
67.1% vs 41.3% avg
+254%
Cost per patient vs peers
$1,413 vs $399 avg
+107%
Brand preference vs peers
7.8% vs 3.8% avg
Opioid Prescribing
67.1%
Opioid Rate
3,361
Opioid Claims
$289K
Opioid Cost
32.5%
Long-Acting Rate
This provider's opioid prescribing rate of 67.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 390 claims · $186K
Generic: 4,619 claims · $148K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Hcl | 74 | $91K |
| Oxycodone Myristate | 95 | $79K |
| Oxycodone Hcl | 1,260 | $39K |
| Morphine Sulfate | 642 | $24K |
| Fentanyl | 172 | $17K |
| Oxycodone Hcl/Acetaminophen | 244 | $11K |
| Hydrocodone/Acetaminophen | 333 | $9,078 |
| Hydromorphone Hcl | 256 | $8,824 |
| Morphine Sulfate | 145 | $6,961 |
| Metaxalone | 24 | $5,897 |
| Naloxone Hcl | 62 | $5,404 |
| Pregabalin | 161 | $5,346 |
| Gabapentin | 291 | $4,840 |
| Duloxetine Hcl | 182 | $3,807 |
| Baclofen | 189 | $2,646 |
Prescribing Profile
31
Unique Drugs
15.0
Anomaly Score
Patient Profile
68
Avg Age
65%
Female
2.30
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