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
6,382
Total Claims
$381K
Drug Cost
679
Beneficiaries
$562
Cost/Patient
Risk Score Breakdown 26/100
Score components are additive. Read full methodology
Peer Comparison vs. 2,621 Pain Management providers
+65%
Opioid rate vs peers
68.0% vs 41.3% avg
+41%
Cost per patient vs peers
$562 vs $399 avg
+57%
Brand preference vs peers
5.9% vs 3.8% 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
68.0%
Opioid Rate
4,342
Opioid Claims
$301K
Opioid Cost
14.4%
Long-Acting Rate
This provider's opioid prescribing rate of 68.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 377 claims · $216K
Generic: 6,005 claims · $165K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Myristate | 153 | $104K |
| Oxycodone Hcl/Acetaminophen | 1,869 | $68K |
| Oxycodone Hcl | 44 | $45K |
| Naloxegol Oxalate | 59 | $27K |
| Fentanyl | 209 | $26K |
| Hydrocodone/Acetaminophen | 948 | $20K |
| Linaclotide | 25 | $14K |
| Oxycodone Hcl | 341 | $7,670 |
| Buprenorphine | 13 | $5,837 |
| Morphine Sulfate | 124 | $4,660 |
| Gabapentin | 263 | $3,992 |
| Tramadol Hcl | 457 | $3,734 |
| Pregabalin | 195 | $3,576 |
| Cyclobenzaprine Hcl | 254 | $3,497 |
| Naloxone Hcl | 29 | $2,655 |
Prescribing Profile
38
Unique Drugs
26.0
Anomaly Score
Patient Profile
71
Avg Age
61%
Female
2.21
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