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
6,858
Total Claims
$397K
Drug Cost
774
Beneficiaries
$513
Cost/Patient
Risk Score Breakdown 17/100
Score components are additive. Read full methodology
Peer Comparison vs. 2,621 Pain Management providers
+95%
Opioid rate vs peers
80.4% vs 41.3% avg
+29%
Cost per patient vs peers
$513 vs $399 avg
+16%
Brand preference vs peers
4.4% vs 3.8% avg
Opioid Prescribing
80.4%
Opioid Rate
5,511
Opioid Claims
$355K
Opioid Cost
10.7%
Long-Acting Rate
This provider's opioid prescribing rate of 80.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 299 claims · $163K
Generic: 6,559 claims · $233K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Hydrocodone/Acetaminophen | 3,358 | $98K |
| Buprenorphine Hcl | 85 | $59K |
| Buprenorphine | 141 | $57K |
| Oxycodone Hcl | 53 | $39K |
| Pregabalin | 526 | $22K |
| Oxycodone Hcl/Acetaminophen | 502 | $20K |
| Oxycodone Myristate | 27 | $16K |
| Oxycodone Hcl | 266 | $6,154 |
| Morphine Sulfate | 132 | $5,931 |
| Fentanyl | 61 | $5,863 |
| Tramadol Hcl | 63 | $5,738 |
| Acetaminophen With Codeine | 252 | $4,417 |
| Tramadol Hcl | 454 | $3,981 |
| Gabapentin | 198 | $2,870 |
| Lidocaine | 18 | $1,952 |
Prescribing Profile
26
Unique Drugs
17.0
Anomaly Score
Patient Profile
68
Avg Age
69%
Female
2.01
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