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
7,793
Total Claims
$336K
Drug Cost
948
Beneficiaries
$354
Cost/Patient
Risk Score Breakdown 17/100
Score components are additive. Read full methodology
Peer Comparison vs. 2,621 Pain Management providers
+68%
Opioid rate vs peers
69.3% vs 41.3% avg
-11%
Cost per patient vs peers
$354 vs $399 avg
-22%
Brand preference vs peers
2.9% vs 3.8% avg
Opioid Prescribing
69.3%
Opioid Rate
5,404
Opioid Claims
$226K
Opioid Cost
12.1%
Long-Acting Rate
This provider's opioid prescribing rate of 69.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 228 claims · $94K
Generic: 7,565 claims · $241K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Hydrocodone/Acetaminophen | 3,306 | $108K |
| Oxycodone Hcl/Acetaminophen | 619 | $22K |
| Oxycodone Hcl | 51 | $17K |
| Gabapentin | 781 | $17K |
| Fentanyl | 176 | $16K |
| Tramadol Hcl | 153 | $15K |
| Atogepant | 12 | $14K |
| Buprenorphine | 46 | $14K |
| Pregabalin | 355 | $12K |
| Naloxegol Oxalate | 21 | $10K |
| Hydrocodone Bitartrate | 22 | $8,602 |
| Tizanidine Hcl | 351 | $5,099 |
| Acetaminophen With Codeine | 166 | $3,690 |
| Morphine Sulfate | 134 | $3,595 |
| Methocarbamol | 136 | $3,587 |
Prescribing Profile
32
Unique Drugs
17.0
Anomaly Score
Patient Profile
71
Avg Age
67%
Female
1.46
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