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
5,394
Total Claims
$423K
Drug Cost
469
Beneficiaries
$902
Cost/Patient
Risk Score Breakdown 26/100
Score components are additive. Read full methodology
Peer Comparison vs. 3,186 Anesthesiology providers
+130%
Opioid rate vs peers
80.0% vs 34.8% avg
+114%
Cost per patient vs peers
$902 vs $422 avg
+21%
Brand preference vs peers
5.7% vs 4.7% 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
80.0%
Opioid Rate
4,317
Opioid Claims
$389K
Opioid Cost
20.9%
Long-Acting Rate
This provider's opioid prescribing rate of 80.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 310 claims · $219K
Generic: 5,084 claims · $204K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Hcl | 93 | $100K |
| Oxycodone Myristate | 70 | $85K |
| Hydrocodone/Acetaminophen | 1,813 | $77K |
| Oxycodone Hcl | 606 | $23K |
| Oxycodone Hcl | 11 | $20K |
| Fentanyl | 164 | $17K |
| Oxycodone Hcl/Acetaminophen | 419 | $17K |
| Morphine Sulfate | 434 | $17K |
| Buprenorphine | 37 | $12K |
| Gabapentin | 264 | $7,330 |
| Hydromorphone Hcl | 201 | $5,104 |
| Oxymorphone Hcl | 12 | $4,847 |
| Lidocaine | 20 | $3,461 |
| Morphine Sulfate | 79 | $3,171 |
| Tizanidine Hcl | 185 | $3,102 |
Prescribing Profile
25
Unique Drugs
26.0
Anomaly Score
Patient Profile
67
Avg Age
66%
Female
1.91
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