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
28,433
Total Claims
$843K
Drug Cost
1,816
Beneficiaries
$464
Cost/Patient
Risk Score Breakdown 12/100
Score components are additive. Read full methodology
Peer Comparison vs. 2,621 Pain Management providers
+24%
Opioid rate vs peers
51.1% vs 41.3% avg
+16%
Cost per patient vs peers
$464 vs $399 avg
-66%
Brand preference vs peers
1.3% vs 3.8% avg
Opioid Prescribing
51.1%
Opioid Rate
14,535
Opioid Claims
$427K
Opioid Cost
6.4%
Long-Acting Rate
This provider's opioid prescribing rate of 51.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 360 claims · $196K
Generic: 28,073 claims · $647K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Hydrocodone/Acetaminophen | 6,938 | $164K |
| Oxycodone Hcl/Acetaminophen | 4,378 | $139K |
| Gabapentin | 6,678 | $103K |
| Methylnaltrexone Bromide | 23 | $58K |
| Pregabalin | 923 | $50K |
| Oxycodone Hcl | 1,875 | $35K |
| Tizanidine Hcl | 1,706 | $28K |
| Oxycodone Myristate | 39 | $27K |
| Naloxegol Oxalate | 61 | $25K |
| Diclofenac Sodium | 609 | $23K |
| Buprenorphine Hcl | 25 | $19K |
| Linaclotide | 23 | $13K |
| Methadone Hcl | 593 | $12K |
| Lidocaine | 117 | $11K |
| Celecoxib | 144 | $9,656 |
Prescribing Profile
48
Unique Drugs
12.0
Anomaly Score
Patient Profile
64
Avg Age
61%
Female
1.58
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