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
12,212
Total Claims
$573K
Drug Cost
980
Beneficiaries
$585
Cost/Patient
Risk Score Breakdown 21/100
Score components are additive. Read full methodology
Peer Comparison vs. 3,186 Anesthesiology providers
+83%
Opioid rate vs peers
63.6% vs 34.8% avg
+39%
Cost per patient vs peers
$585 vs $422 avg
-23%
Brand preference vs peers
3.6% 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
63.6%
Opioid Rate
7,763
Opioid Claims
$399K
Opioid Cost
20.7%
Long-Acting Rate
This provider's opioid prescribing rate of 63.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 445 claims · $161K
Generic: 11,767 claims · $412K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Hydrocodone/Acetaminophen | 2,997 | $116K |
| Oxycodone Hcl | 144 | $88K |
| Oxycodone Hcl/Acetaminophen | 1,165 | $61K |
| Oxycodone Hcl | 972 | $32K |
| Morphine Sulfate | 1,106 | $32K |
| Lidocaine | 69 | $24K |
| Pregabalin | 462 | $19K |
| Fentanyl | 209 | $18K |
| Gabapentin | 849 | $16K |
| Diclofenac Sodium | 202 | $15K |
| Oxycodone Myristate | 19 | $13K |
| Celecoxib | 252 | $9,826 |
| Tizanidine Hcl | 526 | $9,607 |
| Hydromorphone Hcl | 361 | $8,514 |
| Carisoprodol | 437 | $6,919 |
Prescribing Profile
40
Unique Drugs
21.0
Anomaly Score
Patient Profile
70
Avg Age
65%
Female
1.61
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