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
12,945
Total Claims
$428K
Drug Cost
1,395
Beneficiaries
$307
Cost/Patient
Risk Score Breakdown 21/100
Score components are additive. Read full methodology
Peer Comparison vs. 1,498 Interventional Pain Management providers
+21%
Opioid rate vs peers
55.4% vs 45.9% avg
-37%
Cost per patient vs peers
$307 vs $483 avg
-64%
Brand preference vs peers
1.5% 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
55.4%
Opioid Rate
7,167
Opioid Claims
$298K
Opioid Cost
9.4%
Long-Acting Rate
This provider's opioid prescribing rate of 55.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 190 claims · $115K
Generic: 12,755 claims · $313K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Hydrocodone/Acetaminophen | 3,975 | $91K |
| Oxycodone Hcl | 65 | $59K |
| Oxycodone Hcl/Acetaminophen | 12 | $44K |
| Oxycodone Hcl/Acetaminophen | 1,278 | $41K |
| Fentanyl | 325 | $35K |
| Gabapentin | 1,604 | $19K |
| Naloxegol Oxalate | 46 | $19K |
| Linaclotide | 22 | $12K |
| Pregabalin | 399 | $9,217 |
| Oxycodone Hcl | 400 | $8,874 |
| Cyclobenzaprine Hcl | 778 | $8,523 |
| Tizanidine Hcl | 742 | $7,528 |
| Lidocaine | 30 | $6,384 |
| Diclofenac Sodium | 207 | $5,428 |
| Morphine Sulfate | 156 | $5,221 |
Prescribing Profile
47
Unique Drugs
21.0
Anomaly Score
Patient Profile
69
Avg Age
62%
Female
1.51
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