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
9,819
Total Claims
$507K
Drug Cost
885
Beneficiaries
$573
Cost/Patient
Risk Score Breakdown 26/100
Score components are additive. Read full methodology
Peer Comparison vs. 2,621 Pain Management providers
+81%
Opioid rate vs peers
74.9% vs 41.3% avg
+44%
Cost per patient vs peers
$573 vs $399 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
74.9%
Opioid Rate
7,350
Opioid Claims
$428K
Opioid Cost
13.3%
Long-Acting Rate
This provider's opioid prescribing rate of 74.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 9,543 claims · $330K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Hydrocodone/Acetaminophen | 3,056 | $110K |
| Oxycodone Myristate | 62 | $73K |
| Oxycodone Hcl | 1,753 | $62K |
| Oxycodone Hcl/Acetaminophen | 1,302 | $51K |
| Oxycodone Hcl | 57 | $42K |
| Tramadol Hcl | 289 | $30K |
| Morphine Sulfate | 441 | $17K |
| Tapentadol Hcl | 12 | $16K |
| Lidocaine | 65 | $13K |
| Buprenorphine Hcl | 13 | $12K |
| Pregabalin | 13 | $11K |
| Diclofenac Sodium | 192 | $9,306 |
| Fentanyl | 89 | $8,451 |
| Tizanidine Hcl | 593 | $8,140 |
| Gabapentin | 401 | $6,499 |
Prescribing Profile
34
Unique Drugs
26.0
Anomaly Score
Patient Profile
66
Avg Age
67%
Female
1.91
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