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
5,328
Total Claims
$187K
Drug Cost
511
Beneficiaries
$366
Cost/Patient
Risk Score Breakdown 12/100
Score components are additive. Read full methodology
Peer Comparison vs. 2,621 Pain Management providers
+46%
Opioid rate vs peers
60.2% vs 41.3% avg
-8%
Cost per patient vs peers
$366 vs $399 avg
-10%
Brand preference vs peers
3.4% vs 3.8% avg
Opioid Prescribing
60.2%
Opioid Rate
3,206
Opioid Claims
$132K
Opioid Cost
14.6%
Long-Acting Rate
This provider's opioid prescribing rate of 60.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 181 claims · $59K
Generic: 5,147 claims · $128K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Hcl | 75 | $27K |
| Hydrocodone/Acetaminophen | 1,114 | $23K |
| Oxycodone Hcl/Acetaminophen | 746 | $20K |
| Pregabalin | 305 | $19K |
| Gabapentin | 636 | $15K |
| Fentanyl | 110 | $11K |
| Buprenorphine Hcl | 21 | $9,750 |
| Buprenorphine | 11 | $9,187 |
| Oxycodone Myristate | 27 | $7,998 |
| Morphine Sulfate | 165 | $6,286 |
| Oxycodone Hcl | 394 | $6,067 |
| Buprenorphine | 14 | $3,743 |
| Diclofenac Sodium | 248 | $3,255 |
| Lidocaine | 16 | $2,313 |
| Tramadol Hcl | 314 | $1,994 |
Prescribing Profile
26
Unique Drugs
12.0
Anomaly Score
Patient Profile
68
Avg Age
65%
Female
1.61
Avg Risk Score
Explore More
Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About