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 →🚫 This provider appears on the OIG List of Excluded Individuals/Entities (LEIE)
Exclusion type: 1128b4 · Date: 20250320 · State: TX
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
267
Total Claims
$2,909
Drug Cost
128
Beneficiaries
$23
Cost/Patient
Risk Score Breakdown 23/100
Score components are additive. Read full methodology
Peer Comparison vs. 1,498 Interventional Pain Management providers
-42%
Opioid rate vs peers
26.6% vs 45.9% avg
-95%
Cost per patient vs peers
$23 vs $483 avg
Opioid Prescribing
26.6%
Opioid Rate
71
Opioid Claims
$788
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 26.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 266 claims · $2,594
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Orphenadrine Citrate | 27 | $980 |
| Clindamycin Hcl | 90 | $543 |
| Methylprednisolone | 32 | $286 |
| Hydrocodone/Acetaminophen | 39 | $265 |
| Tizanidine Hcl | 13 | $47 |
| Tramadol Hcl | 18 | $33 |
Prescribing Profile
6
Unique Drugs
23.0
Anomaly Score
Patient Profile
72
Avg Age
57%
Female
1.31
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