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 →21
🟡 Moderate
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
22,888
Total Claims
$515K
Drug Cost
2,900
Beneficiaries
$178
Cost/Patient
Risk Score Breakdown 21/100
Score components are additive. Read full methodology
Peer Comparison vs. 1,498 Interventional Pain Management providers
+33%
Opioid rate vs peers
60.9% vs 45.9% avg
-63%
Cost per patient vs peers
$178 vs $483 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
60.9%
Opioid Rate
13,950
Opioid Claims
$382K
Opioid Cost
1.9%
Long-Acting Rate
This provider's opioid prescribing rate of 60.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 208 claims · $44K
Generic: 22,680 claims · $472K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Hcl/Acetaminophen | 5,739 | $233K |
| Hydrocodone/Acetaminophen | 1,605 | $36K |
| Naloxone Hcl | 419 | $34K |
| Acetaminophen With Codeine | 1,943 | $29K |
| Diclofenac Sodium | 683 | $20K |
| Tramadol Hcl | 3,581 | $19K |
| Baclofen | 1,564 | $16K |
| Oxycodone Myristate | 43 | $16K |
| Gabapentin | 1,645 | $13K |
| Oxycodone Hcl | 418 | $9,384 |
| Meloxicam | 2,571 | $7,933 |
| Oxycodone Hcl | 22 | $6,877 |
| Pregabalin | 371 | $5,903 |
| Buprenorphine Hcl/Naloxone Hcl | 27 | $4,720 |
| Ibuprofen | 531 | $4,097 |
Prescribing Profile
30
Unique Drugs
21.0
Anomaly Score
Patient Profile
73
Avg Age
59%
Female
2.28
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