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
8,484
Total Claims
$1.5M
Drug Cost
680
Beneficiaries
$2,161
Cost/Patient
Risk Score Breakdown 17/100
Score components are additive. Read full methodology
Peer Comparison vs. 2,621 Pain Management providers
+65%
Opioid rate vs peers
68.2% vs 41.3% avg
+442%
Cost per patient vs peers
$2,161 vs $399 avg
+275%
Brand preference vs peers
14.1% vs 3.8% avg
Opioid Prescribing
68.2%
Opioid Rate
5,784
Opioid Claims
$923K
Opioid Cost
37.4%
Long-Acting Rate
This provider's opioid prescribing rate of 68.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 1,193 claims · $1.0M
Generic: 7,291 claims · $440K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Buprenorphine Hcl | 459 | $418K |
| Methylnaltrexone Bromide | 61 | $152K |
| Oxycodone Myristate | 169 | $103K |
| Buprenorphine | 221 | $83K |
| Calcipotriene | 120 | $69K |
| Piroxicam | 111 | $67K |
| Tapentadol Hcl | 43 | $63K |
| Hydrocodone Bitartrate | 97 | $61K |
| Tramadol Hcl | 668 | $56K |
| Diclofenac Sodium | 218 | $56K |
| Diclofenac Sodium | 16 | $42K |
| Naloxegol Oxalate | 84 | $35K |
| Tapentadol Hcl | 32 | $30K |
| Acetaminophen With Codeine | 1,370 | $28K |
| Buprenorphine | 31 | $23K |
Prescribing Profile
35
Unique Drugs
17.0
Anomaly Score
Patient Profile
68
Avg Age
67%
Female
2.36
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