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
9,582
Total Claims
$296K
Drug Cost
2,652
Beneficiaries
$112
Cost/Patient
Risk Score Breakdown 26/100
Score components are additive. Read full methodology
Peer Comparison vs. 2,621 Pain Management providers
+107%
Opioid rate vs peers
85.4% vs 41.3% avg
-72%
Cost per patient vs peers
$112 vs $399 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
85.4%
Opioid Rate
8,179
Opioid Claims
$250K
Opioid Cost
3.3%
Long-Acting Rate
This provider's opioid prescribing rate of 85.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 68 claims · $43K
Generic: 9,514 claims · $253K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Hydrocodone/Acetaminophen | 5,254 | $128K |
| Oxycodone Hcl/Acetaminophen | 2,059 | $67K |
| Oxycodone Myristate | 34 | $18K |
| Oxycodone Hcl | 395 | $8,178 |
| Fentanyl | 60 | $8,175 |
| Gabapentin | 601 | $7,667 |
| Pregabalin | 128 | $6,334 |
| Diclofenac Sodium | 68 | $3,098 |
| Morphine Sulfate | 100 | $2,552 |
| Acetaminophen With Codeine | 77 | $1,618 |
| Oxycodone Hcl/Acetaminophen | 32 | $1,213 |
| Tizanidine Hcl | 92 | $1,172 |
| Methadone Hcl | 50 | $966 |
| Tramadol Hcl | 85 | $811 |
| Celecoxib | 22 | $761 |
Prescribing Profile
25
Unique Drugs
26.0
Anomaly Score
Patient Profile
66
Avg Age
56%
Female
1.53
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