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
9,339
Total Claims
$248K
Drug Cost
912
Beneficiaries
$272
Cost/Patient
Risk Score Breakdown 21/100
Score components are additive. Read full methodology
Peer Comparison vs. 3,186 Anesthesiology providers
+70%
Opioid rate vs peers
59.1% vs 34.8% avg
-36%
Cost per patient vs peers
$272 vs $422 avg
-71%
Brand preference vs peers
1.4% vs 4.7% 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
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
59.1%
Opioid Rate
5,516
Opioid Claims
$137K
Opioid Cost
6.5%
Long-Acting Rate
This provider's opioid prescribing rate of 59.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 128 claims · $46K
Generic: 9,211 claims · $202K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Hcl/Acetaminophen | 2,111 | $54K |
| Hydrocodone/Acetaminophen | 2,177 | $53K |
| Gabapentin | 1,637 | $27K |
| Buprenorphine Hcl/Naloxone Hcl | 44 | $15K |
| Gabapentin | 11 | $15K |
| Pregabalin | 343 | $9,116 |
| Fentanyl | 127 | $8,490 |
| Oxycodone Hcl | 284 | $5,566 |
| Lidocaine | 43 | $5,105 |
| Morphine Sulfate | 151 | $3,705 |
| Tizanidine Hcl | 289 | $3,417 |
| Cyclobenzaprine Hcl | 518 | $3,269 |
| Methocarbamol | 166 | $2,229 |
| Tramadol Hcl | 370 | $1,964 |
| Baclofen | 133 | $1,603 |
Prescribing Profile
29
Unique Drugs
21.0
Anomaly Score
Patient Profile
68
Avg Age
61%
Female
1.73
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