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 →21
🟡 Moderate
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
8,907
Total Claims
$641K
Drug Cost
686
Beneficiaries
$935
Cost/Patient
Risk Score Breakdown 21/100
Score components are additive. Read full methodology
Peer Comparison vs. 1,498 Interventional Pain Management providers
+22%
Opioid rate vs peers
56.0% vs 45.9% avg
+94%
Cost per patient vs peers
$935 vs $483 avg
+75%
Brand preference vs peers
7.2% vs 4.1% 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
56.0%
Opioid Rate
4,992
Opioid Claims
$514K
Opioid Cost
23.2%
Long-Acting Rate
This provider's opioid prescribing rate of 56.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 645 claims · $383K
Generic: 8,262 claims · $258K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Buprenorphine Hcl | 176 | $120K |
| Oxycodone Myristate | 131 | $120K |
| Buprenorphine | 202 | $74K |
| Oxycodone Hcl/Acetaminophen | 1,780 | $67K |
| Oxycodone Hcl | 29 | $42K |
| Naloxegol Oxalate | 94 | $41K |
| Gabapentin | 1,285 | $23K |
| Hydrocodone/Acetaminophen | 755 | $17K |
| Fentanyl | 134 | $15K |
| Pregabalin | 433 | $12K |
| Morphine Sulfate | 371 | $12K |
| Oxycodone Hcl | 405 | $8,422 |
| Tramadol Hcl | 672 | $7,631 |
| Hydrocodone Bitartrate | 14 | $6,861 |
| Morphine Sulfate | 124 | $4,813 |
Prescribing Profile
50
Unique Drugs
21.0
Anomaly Score
Patient Profile
70
Avg Age
66%
Female
2.24
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