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
9,788
Total Claims
$261K
Drug Cost
1,066
Beneficiaries
$245
Cost/Patient
Risk Score Breakdown 21/100
Score components are additive. Read full methodology
Peer Comparison vs. 2,621 Pain Management providers
+52%
Opioid rate vs peers
62.7% vs 41.3% avg
-39%
Cost per patient vs peers
$245 vs $399 avg
-4%
Brand preference vs peers
3.6% vs 3.8% 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
62.7%
Opioid Rate
6,141
Opioid Claims
$182K
Opioid Cost
10.6%
Long-Acting Rate
This provider's opioid prescribing rate of 62.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 351 claims · $67K
Generic: 9,437 claims · $194K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Hydrocodone/Acetaminophen | 2,445 | $60K |
| Oxycodone Hcl/Acetaminophen | 1,061 | $37K |
| Oxycodone Myristate | 35 | $26K |
| Naloxegol Oxalate | 43 | $24K |
| Oxycodone Hcl | 821 | $16K |
| Gabapentin | 869 | $12K |
| Pregabalin | 638 | $12K |
| Morphine Sulfate | 447 | $9,140 |
| Morphine Sulfate | 261 | $8,439 |
| Tramadol Hcl | 739 | $5,975 |
| Tizanidine Hcl | 410 | $5,792 |
| Fentanyl | 99 | $5,726 |
| Lidocaine | 68 | $4,640 |
| Cyclobenzaprine Hcl | 303 | $2,325 |
| Naloxone Hcl | 28 | $2,259 |
Prescribing Profile
34
Unique Drugs
21.0
Anomaly Score
Patient Profile
71
Avg Age
56%
Female
1.67
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