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
9,948
Total Claims
$392K
Drug Cost
1,606
Beneficiaries
$244
Cost/Patient
Risk Score Breakdown 29/100
Score components are additive. Read full methodology
Peer Comparison vs. 2,621 Pain Management providers
+112%
Opioid rate vs peers
87.2% vs 41.3% avg
-39%
Cost per patient vs peers
$244 vs $399 avg
-64%
Brand preference vs peers
1.3% vs 3.8% avg
Opioid Prescribing
87.2%
Opioid Rate
8,679
Opioid Claims
$358K
Opioid Cost
4.2%
Long-Acting Rate
This provider's opioid prescribing rate of 87.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 133 claims · $100K
Generic: 9,815 claims · $292K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Hcl/Acetaminophen | 3,096 | $117K |
| Hydrocodone/Acetaminophen | 4,321 | $109K |
| Oxycodone Hcl | 64 | $77K |
| Oxycodone Myristate | 16 | $18K |
| Oxycodone Hcl | 680 | $17K |
| Gabapentin | 871 | $14K |
| Fentanyl | 57 | $10K |
| Pregabalin | 132 | $8,757 |
| Morphine Sulfate | 130 | $4,111 |
| Methadone Hcl | 99 | $1,741 |
| Tramadol Hcl | 114 | $1,329 |
| Ondansetron | 16 | $1,031 |
| Celecoxib | 18 | $563 |
| Morphine Sulfate | 35 | $553 |
| Tizanidine Hcl | 36 | $472 |
Prescribing Profile
21
Unique Drugs
29.0
Anomaly Score
Patient Profile
66
Avg Age
63%
Female
1.59
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