⚠️

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 →

Hugh MaddoxM.D.

Pain Management · Anniston, AL 36201

NPI: 1073590170

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24

🟡 Moderate

🤖 ML Fraud Detection Score: 95%

Machine learning model identifies prescribing patterns consistent with confirmed fraud cases. This is a statistical indicator, not an accusation.

Learn more →

Risk Flags

90th percentile opioid prescribingElevated antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberHigh fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

8,573

Total Claims

$381K

Drug Cost

350

Beneficiaries

$1,089

Cost/Patient

Risk Score Breakdown 24/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid + benzodiazepine combo+8
Opioid rate (national percentile)+5
Elderly antipsychotic prescribing+5
High fills per patient+3

Score components are additive. Read full methodology

Peer Comparison vs. 2,621 Pain Management providers

-16%

Opioid rate vs peers

34.8% vs 41.3% avg

+173%

Cost per patient vs peers

$1,089 vs $399 avg

-40%

Brand preference vs peers

2.2% vs 3.8% 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

🤖

Our machine learning model — trained on 281 confirmed fraud cases — gives this provider a "Very High" fraud-pattern score. All 20 decision trees in our ensemble model agree that this provider's prescribing patterns resemble those of confirmed fraud cases. This is a statistical finding, not an accusation.

⚠️

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

34.8%

Opioid Rate

2,982

Opioid Claims

$119K

Opioid Cost

10.6%

Long-Acting Rate

This provider's opioid prescribing rate of 34.8% is above the 20% threshold that CMS considers elevated.

Brand vs Generic

98% generic

Brand: 192 claims · $151K

Generic: 8,381 claims · $231K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Hydrocodone/Acetaminophen1,832$67K
Rimegepant Sulfate34$38K
Rotigotine22$27K
Buprenorphine Hcl/Naloxone Hcl99$27K
Gabapentin1,284$21K
Oxycodone Myristate17$18K
Oxycodone Hcl/Acetaminophen482$18K
Lidocaine85$12K
Ropinirole Hcl817$9,748
Diclofenac Sodium135$8,322
Duloxetine Hcl302$7,864
Pregabalin229$7,653
Pregabalin12$7,423
Duloxetine Hcl12$7,201
Morphine Sulfate249$7,093

Prescribing Profile

41

Unique Drugs

24.0

Anomaly Score

Patient Profile

63

Avg Age

62%

Female

1.61

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