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 →26
🟡 Moderate
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
11,450
Total Claims
$462K
Drug Cost
1,640
Beneficiaries
$282
Cost/Patient
Risk Score Breakdown 26/100
Score components are additive. Read full methodology
Peer Comparison vs. 1,498 Interventional Pain Management providers
+58%
Opioid rate vs peers
72.7% vs 45.9% avg
-42%
Cost per patient vs peers
$282 vs $483 avg
-72%
Brand preference vs peers
1.1% vs 4.1% 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
72.7%
Opioid Rate
8,327
Opioid Claims
$385K
Opioid Cost
6.5%
Long-Acting Rate
This provider's opioid prescribing rate of 72.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 130 claims · $97K
Generic: 11,320 claims · $365K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Hcl/Acetaminophen | 4,238 | $171K |
| Hydrocodone/Acetaminophen | 2,606 | $68K |
| Oxycodone Hcl | 39 | $41K |
| Gabapentin | 1,928 | $34K |
| Oxycodone Myristate | 45 | $32K |
| Oxymorphone Hcl | 23 | $22K |
| Pregabalin | 335 | $15K |
| Oxycodone Hcl | 538 | $13K |
| Morphine Sulfate | 300 | $9,889 |
| Fentanyl | 67 | $8,434 |
| Buprenorphine | 11 | $4,843 |
| Tramadol Hcl | 326 | $4,017 |
| Tizanidine Hcl | 188 | $2,169 |
| Diclofenac Sodium | 42 | $1,294 |
| Oxycodone Hcl/Acetaminophen | 30 | $1,260 |
Prescribing Profile
23
Unique Drugs
26.0
Anomaly Score
Patient Profile
66
Avg Age
62%
Female
1.67
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