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
10,346
Total Claims
$487K
Drug Cost
1,210
Beneficiaries
$402
Cost/Patient
Risk Score Breakdown 21/100
Score components are additive. Read full methodology
Peer Comparison vs. 3,186 Anesthesiology providers
+58%
Opioid rate vs peers
54.9% vs 34.8% avg
-5%
Cost per patient vs peers
$402 vs $422 avg
-22%
Brand preference vs peers
3.7% vs 4.7% 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
54.9%
Opioid Rate
5,678
Opioid Claims
$302K
Opioid Cost
14.6%
Long-Acting Rate
This provider's opioid prescribing rate of 54.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 382 claims · $184K
Generic: 9,964 claims · $303K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Hcl/Acetaminophen | 1,881 | $67K |
| Hydrocodone/Acetaminophen | 1,421 | $44K |
| Oxycodone Hcl | 58 | $34K |
| Oxycodone Myristate | 50 | $29K |
| Oxycodone Hcl | 939 | $28K |
| Fentanyl | 232 | $21K |
| Naloxegol Oxalate | 42 | $18K |
| Gabapentin | 768 | $15K |
| Tapentadol Hcl | 17 | $13K |
| Piroxicam | 19 | $12K |
| Pregabalin | 13 | $11K |
| Calcipotriene | 19 | $11K |
| Pregabalin | 519 | $10K |
| Buprenorphine | 22 | $9,767 |
| Morphine Sulfate | 277 | $8,385 |
Prescribing Profile
46
Unique Drugs
21.0
Anomaly Score
Patient Profile
70
Avg Age
63%
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