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
9,369
Total Claims
$320K
Drug Cost
968
Beneficiaries
$331
Cost/Patient
Risk Score Breakdown 12/100
Score components are additive. Read full methodology
Peer Comparison vs. 1,498 Interventional Pain Management providers
+43%
Opioid rate vs peers
65.5% vs 45.9% avg
-32%
Cost per patient vs peers
$331 vs $483 avg
-53%
Brand preference vs peers
2.0% vs 4.1% avg
Opioid Prescribing
65.5%
Opioid Rate
6,140
Opioid Claims
$218K
Opioid Cost
3.6%
Long-Acting Rate
This provider's opioid prescribing rate of 65.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 183 claims · $128K
Generic: 9,186 claims · $192K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Hydrocodone/Acetaminophen | 3,699 | $81K |
| Buprenorphine Hcl | 89 | $74K |
| Oxycodone Hcl/Acetaminophen | 1,245 | $32K |
| Pregabalin | 667 | $16K |
| Buprenorphine | 40 | $14K |
| Gabapentin | 710 | $14K |
| Suvorexant | 19 | $8,674 |
| Naloxegol Oxalate | 19 | $7,914 |
| Tramadol Hcl | 659 | $5,620 |
| Acetaminophen With Codeine | 193 | $4,228 |
| Lidocaine | 12 | $3,498 |
| Fentanyl | 34 | $3,392 |
| Tizanidine Hcl | 357 | $3,032 |
| Diclofenac Sodium | 50 | $2,591 |
| Baclofen | 267 | $2,572 |
Prescribing Profile
38
Unique Drugs
12.0
Anomaly Score
Patient Profile
67
Avg Age
56%
Female
1.59
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