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
5,481
Total Claims
$296K
Drug Cost
539
Beneficiaries
$549
Cost/Patient
Risk Score Breakdown 17/100
Score components are additive. Read full methodology
Peer Comparison vs. 1,498 Interventional Pain Management providers
+83%
Opioid rate vs peers
84.1% vs 45.9% avg
+14%
Cost per patient vs peers
$549 vs $483 avg
-48%
Brand preference vs peers
2.2% vs 4.1% avg
Opioid Prescribing
84.1%
Opioid Rate
4,611
Opioid Claims
$256K
Opioid Cost
19.5%
Long-Acting Rate
This provider's opioid prescribing rate of 84.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 118 claims · $74K
Generic: 5,363 claims · $222K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Hydrocodone/Acetaminophen | 2,642 | $118K |
| Oxycodone Hcl | 41 | $34K |
| Oxycodone Hcl/Acetaminophen | 552 | $31K |
| Naloxone Hcl | 282 | $24K |
| Oxycodone Myristate | 19 | $23K |
| Oxycodone Hcl | 317 | $14K |
| Morphine Sulfate | 353 | $11K |
| Methadone Hcl | 459 | $9,706 |
| Gabapentin | 185 | $3,476 |
| Tramadol Hcl | 175 | $3,199 |
| Fentanyl | 19 | $2,667 |
| Pregabalin | 57 | $1,832 |
| Cyclobenzaprine Hcl | 82 | $932 |
| Morphine Sulfate | 15 | $870 |
| Methylprednisolone | 67 | $627 |
Prescribing Profile
18
Unique Drugs
17.0
Anomaly Score
Patient Profile
65
Avg Age
59%
Female
1.79
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