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
6,254
Total Claims
$279K
Drug Cost
1,460
Beneficiaries
$191
Cost/Patient
Risk Score Breakdown 12/100
Score components are additive. Read full methodology
Peer Comparison vs. 2,621 Pain Management providers
+53%
Opioid rate vs peers
63.2% vs 41.3% avg
-52%
Cost per patient vs peers
$191 vs $399 avg
Opioid Prescribing
63.2%
Opioid Rate
3,954
Opioid Claims
$157K
Opioid Cost
11.2%
Long-Acting Rate
This provider's opioid prescribing rate of 63.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 234 claims · $93K
Generic: 6,020 claims · $186K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Hydrocodone/Acetaminophen | 2,555 | $82K |
| Lidocaine | 84 | $47K |
| Tapentadol Hcl | 19 | $17K |
| Lidocaine | 89 | $14K |
| Buprenorphine | 55 | $14K |
| Oxycodone Hcl/Acetaminophen | 403 | $14K |
| Diclofenac Sodium | 187 | $12K |
| Fentanyl | 75 | $8,155 |
| Gabapentin | 519 | $7,574 |
| Naloxone Hcl | 79 | $6,889 |
| Naloxegol Oxalate | 13 | $5,700 |
| Pregabalin | 190 | $5,225 |
| Morphine Sulfate | 259 | $4,689 |
| Oxycodone Hcl | 177 | $3,410 |
| Tizanidine Hcl | 272 | $3,354 |
Prescribing Profile
28
Unique Drugs
12.0
Anomaly Score
Patient Profile
65
Avg Age
64%
Female
1.92
Avg Risk Score
Explore More
Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About