⚠️

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 →

Manuel Lopez DiezM.D.

Pain Management · Palm Coast, FL 32137

NPI: 1144458100

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21

🟡 Moderate

Risk Flags

95th percentile opioid prescribingOpioid + benzodiazepine co-prescriber

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

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate (national percentile)+10
Opioid + benzodiazepine combo+8

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

96% generic

Brand: 351 claims · $67K

Generic: 9,437 claims · $194K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Hydrocodone/Acetaminophen2,445$60K
Oxycodone Hcl/Acetaminophen1,061$37K
Oxycodone Myristate35$26K
Naloxegol Oxalate43$24K
Oxycodone Hcl821$16K
Gabapentin869$12K
Pregabalin638$12K
Morphine Sulfate447$9,140
Morphine Sulfate261$8,439
Tramadol Hcl739$5,975
Tizanidine Hcl410$5,792
Fentanyl99$5,726
Lidocaine68$4,640
Cyclobenzaprine Hcl303$2,325
Naloxone Hcl28$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