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
9,894
Total Claims
$344K
Drug Cost
1,123
Beneficiaries
$306
Cost/Patient
Risk Score Breakdown 17/100
Score components are additive. Read full methodology
Peer Comparison vs. 2,621 Pain Management providers
+74%
Opioid rate vs peers
71.7% vs 41.3% avg
-23%
Cost per patient vs peers
$306 vs $399 avg
-35%
Brand preference vs peers
2.4% vs 3.8% avg
Opioid Prescribing
71.7%
Opioid Rate
7,091
Opioid Claims
$219K
Opioid Cost
8.5%
Long-Acting Rate
This provider's opioid prescribing rate of 71.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 242 claims · $67K
Generic: 9,652 claims · $277K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Hydrocodone/Acetaminophen | 2,948 | $64K |
| Oxycodone Hcl/Acetaminophen | 2,271 | $61K |
| Pregabalin | 610 | $29K |
| Gabapentin | 1,338 | $20K |
| Buprenorphine Hcl/Naloxone Hcl | 83 | $19K |
| Buprenorphine | 53 | $18K |
| Oxycodone Myristate | 21 | $12K |
| Oxycodone Hcl | 724 | $11K |
| Morphine Sulfate | 289 | $11K |
| Pregabalin | 26 | $10K |
| Linaclotide | 12 | $9,959 |
| Fentanyl | 59 | $6,936 |
| Naloxegol Oxalate | 19 | $6,798 |
| Oxycodone Hcl | 15 | $6,647 |
| Pregabalin | 11 | $6,357 |
Prescribing Profile
33
Unique Drugs
17.0
Anomaly Score
Patient Profile
67
Avg Age
64%
Female
1.69
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