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
8,810
Total Claims
$347K
Drug Cost
623
Beneficiaries
$557
Cost/Patient
Risk Score Breakdown 21/100
Score components are additive. Read full methodology
Peer Comparison vs. 3,186 Anesthesiology providers
+42%
Opioid rate vs peers
49.3% vs 34.8% avg
+32%
Cost per patient vs peers
$557 vs $422 avg
-44%
Brand preference vs peers
2.7% 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.
🔎 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
49.3%
Opioid Rate
4,339
Opioid Claims
$106K
Opioid Cost
1.1%
Long-Acting Rate
This provider's opioid prescribing rate of 49.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 234 claims · $116K
Generic: 8,576 claims · $231K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Hydrocodone/Acetaminophen | 3,254 | $76K |
| Lidocaine | 301 | $39K |
| Naloxegol Oxalate | 60 | $25K |
| Buprenorphine Hcl/Naloxone Hcl | 136 | $24K |
| Buprenorphine Hcl/Naloxone Hcl | 54 | $23K |
| Diclofenac Sodium | 257 | $13K |
| Acetaminophen With Codeine | 525 | $11K |
| Gabapentin | 787 | $10K |
| Linaclotide | 18 | $10K |
| Pregabalin | 294 | $9,184 |
| Pregabalin | 11 | $7,805 |
| Buprenorphine | 24 | $7,248 |
| Cyclobenzaprine Hcl | 770 | $7,131 |
| Tizanidine Hcl | 637 | $6,510 |
| Lidocaine | 17 | $6,130 |
Prescribing Profile
29
Unique Drugs
21.0
Anomaly Score
Patient Profile
66
Avg Age
66%
Female
2.22
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