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
7,953
Total Claims
$345K
Drug Cost
1,133
Beneficiaries
$304
Cost/Patient
Risk Score Breakdown 21/100
Score components are additive. Read full methodology
Peer Comparison vs. 1,498 Interventional Pain Management providers
+23%
Opioid rate vs peers
56.2% vs 45.9% avg
-37%
Cost per patient vs peers
$304 vs $483 avg
-16%
Brand preference vs peers
3.5% vs 4.1% 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
56.2%
Opioid Rate
4,472
Opioid Claims
$265K
Opioid Cost
11.0%
Long-Acting Rate
This provider's opioid prescribing rate of 56.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 275 claims · $159K
Generic: 7,678 claims · $186K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Buprenorphine Hcl | 85 | $77K |
| Oxycodone Myristate | 67 | $46K |
| Oxycodone Hcl/Acetaminophen | 1,425 | $45K |
| Hydrocodone/Acetaminophen | 1,504 | $34K |
| Buprenorphine | 60 | $19K |
| Gabapentin | 791 | $14K |
| Pregabalin | 631 | $13K |
| Oxycodone Hcl | 433 | $10K |
| Oxycodone Hcl | 16 | $6,473 |
| Morphine Sulfate | 191 | $5,579 |
| Fentanyl | 43 | $4,895 |
| Tramadol Hcl | 427 | $3,979 |
| Tizanidine Hcl | 357 | $3,652 |
| Lidocaine | 37 | $3,591 |
| Butalb/Acetaminophen/Caffeine | 46 | $3,143 |
Prescribing Profile
40
Unique Drugs
21.0
Anomaly Score
Patient Profile
68
Avg Age
57%
Female
1.58
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