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
7,310
Total Claims
$494K
Drug Cost
1,049
Beneficiaries
$471
Cost/Patient
Risk Score Breakdown 26/100
Score components are additive. Read full methodology
Peer Comparison vs. 1,498 Interventional Pain Management providers
+88%
Opioid rate vs peers
86.3% vs 45.9% avg
-2%
Cost per patient vs peers
$471 vs $483 avg
+90%
Brand preference vs peers
7.8% 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
86.3%
Opioid Rate
6,310
Opioid Claims
$421K
Opioid Cost
21.0%
Long-Acting Rate
This provider's opioid prescribing rate of 86.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 573 claims · $267K
Generic: 6,737 claims · $227K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Myristate | 255 | $121K |
| Oxycodone Hcl/Acetaminophen | 1,462 | $60K |
| Hydrocodone/Acetaminophen | 1,814 | $57K |
| Oxycodone Hcl | 95 | $56K |
| Oxycodone Hcl | 1,241 | $24K |
| Tapentadol Hcl | 20 | $24K |
| Morphine Sulfate | 678 | $17K |
| Hydromorphone Hcl | 47 | $17K |
| Fentanyl | 150 | $15K |
| Pregabalin | 15 | $14K |
| Buprenorphine Hcl | 26 | $9,885 |
| Pregabalin | 264 | $9,653 |
| Buprenorphine Hcl/Naloxone Hcl | 34 | $4,698 |
| Buprenorphine | 14 | $4,527 |
| Morphine Sulfate | 57 | $2,113 |
Prescribing Profile
27
Unique Drugs
26.0
Anomaly Score
Patient Profile
68
Avg Age
64%
Female
1.88
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