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
7,579
Total Claims
$335K
Drug Cost
1,245
Beneficiaries
$269
Cost/Patient
Risk Score Breakdown 26/100
Score components are additive. Read full methodology
Peer Comparison vs. 1,498 Interventional Pain Management providers
+76%
Opioid rate vs peers
81.0% vs 45.9% avg
-44%
Cost per patient vs peers
$269 vs $483 avg
+63%
Brand preference vs peers
6.7% 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
81.0%
Opioid Rate
6,136
Opioid Claims
$251K
Opioid Cost
17.1%
Long-Acting Rate
This provider's opioid prescribing rate of 81.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 510 claims · $117K
Generic: 7,069 claims · $218K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Hcl/Acetaminophen | 1,775 | $56K |
| Oxycodone Myristate | 73 | $35K |
| Hydrocodone/Acetaminophen | 1,572 | $35K |
| Tapentadol Hcl | 26 | $23K |
| Buprenorphine Hcl/Naloxone Hcl | 125 | $21K |
| Pregabalin | 491 | $18K |
| Morphine Sulfate | 716 | $17K |
| Buprenorphine | 40 | $16K |
| Buprenorphine Hcl | 17 | $14K |
| Fentanyl | 128 | $9,006 |
| Morphine Sulfate | 388 | $8,064 |
| Buprenorphine Hcl/Naloxone Hcl | 15 | $6,165 |
| Butalb/Acetaminophen/Caffeine | 84 | $4,712 |
| Oxycodone Hcl | 356 | $4,643 |
| Oxycodone Hcl | 15 | $4,558 |
Prescribing Profile
32
Unique Drugs
26.0
Anomaly Score
Patient Profile
67
Avg Age
61%
Female
2.15
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