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
5,978
Total Claims
$279K
Drug Cost
628
Beneficiaries
$444
Cost/Patient
Risk Score Breakdown 12/100
Score components are additive. Read full methodology
Peer Comparison vs. 2,621 Pain Management providers
+49%
Opioid rate vs peers
61.3% vs 41.3% avg
+11%
Cost per patient vs peers
$444 vs $399 avg
-16%
Brand preference vs peers
3.1% vs 3.8% avg
Opioid Prescribing
61.3%
Opioid Rate
3,667
Opioid Claims
$149K
Opioid Cost
12.3%
Long-Acting Rate
This provider's opioid prescribing rate of 61.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 188 claims · $99K
Generic: 5,790 claims · $180K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Buprenorphine | 205 | $64K |
| Hydrocodone/Acetaminophen | 1,214 | $28K |
| Ubrogepant | 13 | $22K |
| Acetaminophen With Codeine | 1,194 | $22K |
| Tramadol Hcl | 160 | $13K |
| Diclofenac Epolamine | 23 | $13K |
| Buprenorphine Hcl | 27 | $12K |
| Gabapentin | 577 | $12K |
| Erenumab-Aooe | 12 | $9,480 |
| Pregabalin | 307 | $8,078 |
| Naloxone Hcl | 86 | $7,414 |
| Diclofenac Sodium | 117 | $6,184 |
| Tramadol Hcl | 597 | $5,133 |
| Lidocaine | 17 | $2,990 |
| Cyclobenzaprine Hcl | 373 | $2,739 |
Prescribing Profile
28
Unique Drugs
12.0
Anomaly Score
Patient Profile
71
Avg Age
70%
Female
2.20
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