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
11,203
Total Claims
$386K
Drug Cost
1,274
Beneficiaries
$303
Cost/Patient
Risk Score Breakdown 26/100
Score components are additive. Read full methodology
Peer Comparison vs. 1,498 Interventional Pain Management providers
+79%
Opioid rate vs peers
82.0% vs 45.9% avg
-37%
Cost per patient vs peers
$303 vs $483 avg
-34%
Brand preference vs peers
2.7% vs 4.1% 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
82.0%
Opioid Rate
9,190
Opioid Claims
$337K
Opioid Cost
11.5%
Long-Acting Rate
This provider's opioid prescribing rate of 82.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 303 claims · $84K
Generic: 10,900 claims · $302K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Hcl/Acetaminophen | 2,685 | $112K |
| Hydrocodone/Acetaminophen | 2,517 | $63K |
| Oxycodone Hcl | 1,743 | $45K |
| Tapentadol Hcl | 19 | $22K |
| Oxycodone Myristate | 45 | $20K |
| Fentanyl | 140 | $16K |
| Morphine Sulfate | 698 | $14K |
| Oxycodone Hcl | 25 | $12K |
| Pregabalin | 251 | $7,777 |
| Morphine Sulfate | 156 | $5,866 |
| Tramadol Hcl | 687 | $5,572 |
| Buprenorphine Hcl | 12 | $5,385 |
| Hydromorphone Hcl | 234 | $4,112 |
| Naloxone Hcl | 31 | $2,692 |
| Topiramate | 342 | $2,477 |
Prescribing Profile
41
Unique Drugs
26.0
Anomaly Score
Patient Profile
66
Avg Age
58%
Female
2.26
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