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 →26
🟡 Moderate
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
5,993
Total Claims
$262K
Drug Cost
1,750
Beneficiaries
$150
Cost/Patient
Risk Score Breakdown 26/100
Score components are additive. Read full methodology
Peer Comparison vs. 1,498 Interventional Pain Management providers
+87%
Opioid rate vs peers
85.8% vs 45.9% avg
-69%
Cost per patient vs peers
$150 vs $483 avg
-7%
Brand preference vs peers
3.8% vs 4.1% 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
85.8%
Opioid Rate
5,144
Opioid Claims
$226K
Opioid Cost
11.7%
Long-Acting Rate
This provider's opioid prescribing rate of 85.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 230 claims · $80K
Generic: 5,763 claims · $182K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Hcl/Acetaminophen | 1,234 | $61K |
| Hydrocodone/Acetaminophen | 2,244 | $56K |
| Oxycodone Hcl | 39 | $19K |
| Oxycodone Myristate | 25 | $16K |
| Buprenorphine | 58 | $16K |
| Oxycodone Hcl | 530 | $9,818 |
| Tapentadol Hcl | 11 | $9,593 |
| Morphine Sulfate | 315 | $9,134 |
| Pregabalin | 255 | $7,402 |
| Fentanyl | 77 | $4,407 |
| Naloxegol Oxalate | 11 | $4,135 |
| Tramadol Hcl | 380 | $3,609 |
| Naloxone Hcl | 37 | $3,066 |
| Gabapentin | 89 | $3,029 |
| Morphine Sulfate | 85 | $2,019 |
Prescribing Profile
26
Unique Drugs
26.0
Anomaly Score
Patient Profile
68
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