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 →🤖 ML Fraud Detection Score: 89%
Machine learning model identifies prescribing patterns consistent with confirmed fraud cases. This is a statistical indicator, not an accusation.
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
7,206
Total Claims
$2.1M
Drug Cost
258
Beneficiaries
$7,948
Cost/Patient
Risk Score Breakdown 40/100
Score components are additive. Read full methodology
Peer Comparison vs. 2,621 Pain Management providers
-24%
Opioid rate vs peers
31.4% vs 41.3% avg
+1894%
Cost per patient vs peers
$7,948 vs $399 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
⚠️ 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
31.4%
Opioid Rate
2,262
Opioid Claims
$859K
Opioid Cost
66.2%
Long-Acting Rate
This provider's opioid prescribing rate of 31.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 5,872 claims · $835K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Hcl/Acetaminophen | 140 | $266K |
| Oxycodone Hcl/Acetaminophen | 76 | $220K |
| Semaglutide | 155 | $169K |
| Methylnaltrexone Bromide | 73 | $168K |
| Brexpiprazole | 98 | $153K |
| Oxycodone Hcl | 51 | $138K |
| Levorphanol Tartrate | 22 | $116K |
| Dapagliflozin Propanediol | 149 | $107K |
| Oxycodone Myristate | 74 | $82K |
| Methadone Hcl | 1,161 | $51K |
| Tirzepatide | 41 | $45K |
| Naloxegol Oxalate | 69 | $32K |
| Linaclotide | 46 | $31K |
| Buprenorphine Hcl/Naloxone Hcl | 84 | $23K |
| Vortioxetine Hydrobromide | 41 | $23K |
Prescribing Profile
Patient Profile
65
Avg Age
59%
Female
1.54
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