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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 →

Brian RichMD

Interventional Pain Management · Decatur, TX 76234

NPI: 1063436947

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23

🟡 Moderate

🚫 This provider appears on the OIG List of Excluded Individuals/Entities (LEIE)

Exclusion type: 1128b4 · Date: 20250320 · State: TX

Risk Flags

OIG Excluded ProviderLow drug diversity

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

Low (0)Moderate (15)Elevated (30)High (50+)
OIG excluded provider+20
Low drug diversity+3

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

100% generic

Brand: 0 claims · $0

Generic: 266 claims · $2,594

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Orphenadrine Citrate27$980
Clindamycin Hcl90$543
Methylprednisolone32$286
Hydrocodone/Acetaminophen39$265
Tizanidine Hcl13$47
Tramadol Hcl18$33

Prescribing Profile

6

Unique Drugs

23.0

Anomaly Score

Patient Profile

72

Avg Age

57%

Female

1.31

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