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 →32
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
5,956
Total Claims
$489K
Drug Cost
484
Beneficiaries
$1,011
Cost/Patient
Risk Score Breakdown 32/100
Score components are additive. Read full methodology
Peer Comparison vs. 1,080 Hospice and Palliative Care providers
+43%
Opioid rate vs peers
47.3% vs 33.2% avg
+65%
Cost per patient vs peers
$1,011 vs $611 avg
+9%
Brand preference vs peers
7.4% vs 6.7% 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
47.3%
Opioid Rate
2,820
Opioid Claims
$312K
Opioid Cost
39.4%
Long-Acting Rate
This provider's opioid prescribing rate of 47.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 438 claims · $290K
Generic: 5,518 claims · $199K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Myristate | 111 | $115K |
| Buprenorphine Hcl | 59 | $42K |
| Oxycodone Hcl | 919 | $24K |
| Buprenorphine Hcl/Naloxone Hcl | 60 | $24K |
| Fentanyl | 235 | $24K |
| Oxycodone Hcl | 35 | $22K |
| Hydrocodone Bitartrate | 26 | $19K |
| Lipase/Protease/Amylase | 15 | $18K |
| Linaclotide | 19 | $15K |
| Hydrocodone Bitartrate | 19 | $9,371 |
| Oxycodone Hcl/Acetaminophen | 227 | $8,978 |
| Buprenorphine | 35 | $8,869 |
| Hydrocodone/Acetaminophen | 238 | $8,494 |
| Naloxegol Oxalate | 18 | $8,478 |
| Morphine Sulfate | 170 | $7,830 |
Prescribing Profile
64
Unique Drugs
32.0
Anomaly Score
Patient Profile
67
Avg Age
60%
Female
2.96
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