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
18,484
Total Claims
$824K
Drug Cost
1,782
Beneficiaries
$462
Cost/Patient
Risk Score Breakdown 26/100
Score components are additive. Read full methodology
Peer Comparison vs. 1,498 Interventional Pain Management providers
+92%
Opioid rate vs peers
88.3% vs 45.9% avg
-4%
Cost per patient vs peers
$462 vs $483 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
88.3%
Opioid Rate
16,322
Opioid Claims
$734K
Opioid Cost
13.0%
Long-Acting Rate
This provider's opioid prescribing rate of 88.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 764 claims · $283K
Generic: 17,720 claims · $541K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Hydrocodone/Acetaminophen | 6,008 | $159K |
| Oxycodone Hcl/Acetaminophen | 4,428 | $157K |
| Oxycodone Myristate | 215 | $125K |
| Oxycodone Hcl | 108 | $114K |
| Fentanyl | 506 | $45K |
| Oxycodone Hcl | 2,279 | $43K |
| Morphine Sulfate | 1,126 | $31K |
| Pregabalin | 1,114 | $30K |
| Oxycodone Hcl/Acetaminophen | 11 | $25K |
| Morphine Sulfate | 340 | $9,180 |
| Piroxicam | 13 | $8,028 |
| Naloxone Hcl | 94 | $8,018 |
| Calcipotriene | 13 | $7,380 |
| Tramadol Hcl | 867 | $6,513 |
| Buprenorphine Hcl | 15 | $6,375 |
Prescribing Profile
31
Unique Drugs
26.0
Anomaly Score
Patient Profile
68
Avg Age
61%
Female
1.78
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