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
6,397
Total Claims
$271K
Drug Cost
550
Beneficiaries
$493
Cost/Patient
Risk Score Breakdown 21/100
Score components are additive. Read full methodology
Peer Comparison vs. 3,186 Anesthesiology providers
+62%
Opioid rate vs peers
56.5% vs 34.8% avg
+17%
Cost per patient vs peers
$493 vs $422 avg
+9%
Brand preference vs peers
5.2% vs 4.7% 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.
Opioid Prescribing
56.5%
Opioid Rate
3,612
Opioid Claims
$180K
Opioid Cost
22.5%
Long-Acting Rate
This provider's opioid prescribing rate of 56.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 330 claims · $134K
Generic: 6,067 claims · $137K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Hcl/Acetaminophen | 1,335 | $36K |
| Oxycodone Myristate | 56 | $32K |
| Tapentadol Hcl | 14 | $26K |
| Oxycodone Hcl | 60 | $25K |
| Naloxegol Oxalate | 42 | $20K |
| Gabapentin | 924 | $18K |
| Buprenorphine Hcl | 22 | $14K |
| Lidocaine | 76 | $11K |
| Hydrocodone/Acetaminophen | 548 | $10K |
| Morphine Sulfate | 433 | $8,511 |
| Oxycodone Hcl | 415 | $7,102 |
| Pregabalin | 206 | $6,883 |
| Diclofenac Sodium | 100 | $6,545 |
| Tizanidine Hcl | 560 | $6,387 |
| Fentanyl | 71 | $3,962 |
Prescribing Profile
33
Unique Drugs
21.0
Anomaly Score
Patient Profile
65
Avg Age
67%
Female
1.76
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