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
6,990
Total Claims
$444K
Drug Cost
1,121
Beneficiaries
$396
Cost/Patient
Risk Score Breakdown 21/100
Score components are additive. Read full methodology
Peer Comparison vs. 2,621 Pain Management providers
+37%
Opioid rate vs peers
56.6% vs 41.3% avg
-1%
Cost per patient vs peers
$396 vs $399 avg
+25%
Brand preference vs peers
4.7% vs 3.8% 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
56.6%
Opioid Rate
3,953
Opioid Claims
$229K
Opioid Cost
10.5%
Long-Acting Rate
This provider's opioid prescribing rate of 56.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 328 claims · $189K
Generic: 6,662 claims · $254K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Hcl/Acetaminophen | 1,323 | $56K |
| Hydrocodone/Acetaminophen | 1,404 | $47K |
| Onabotulinumtoxina | 14 | $19K |
| Naloxegol Oxalate | 42 | $18K |
| Oxycodone Myristate | 30 | $15K |
| Pregabalin | 391 | $14K |
| Buprenorphine Hcl | 16 | $13K |
| Gabapentin | 710 | $12K |
| Buprenorphine | 29 | $12K |
| Linaclotide | 17 | $11K |
| Oxycodone Hcl | 22 | $11K |
| Lidocaine | 80 | $10K |
| Buprenorphine Hcl/Naloxone Hcl | 47 | $9,279 |
| Diclofenac Sodium | 107 | $9,066 |
| Oxycodone Hcl | 447 | $8,416 |
Prescribing Profile
41
Unique Drugs
21.0
Anomaly Score
Patient Profile
68
Avg Age
64%
Female
2.14
Avg Risk Score
Explore More
Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About