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 →17
🟡 Moderate
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
5,548
Total Claims
$259K
Drug Cost
833
Beneficiaries
$311
Cost/Patient
Risk Score Breakdown 17/100
Score components are additive. Read full methodology
Peer Comparison vs. 1,498 Interventional Pain Management providers
+82%
Opioid rate vs peers
83.5% vs 45.9% avg
-36%
Cost per patient vs peers
$311 vs $483 avg
+3%
Brand preference vs peers
4.3% vs 4.1% avg
Opioid Prescribing
83.5%
Opioid Rate
4,635
Opioid Claims
$228K
Opioid Cost
16.8%
Long-Acting Rate
This provider's opioid prescribing rate of 83.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 236 claims · $95K
Generic: 5,312 claims · $164K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Hcl/Acetaminophen | 1,278 | $49K |
| Hydrocodone/Acetaminophen | 1,186 | $37K |
| Oxycodone Hcl | 43 | $22K |
| Buprenorphine Hcl | 37 | $21K |
| Oxycodone Myristate | 26 | $16K |
| Oxycodone Hcl | 831 | $15K |
| Hydrocodone Bitartrate | 23 | $13K |
| Pregabalin | 354 | $12K |
| Morphine Sulfate | 406 | $10K |
| Fentanyl | 54 | $8,190 |
| Tramadol Hcl | 317 | $3,771 |
| Morphine Sulfate | 97 | $2,765 |
| Methadone Hcl | 143 | $2,426 |
| Tramadol Hcl | 31 | $2,293 |
| Naloxone Hcl | 21 | $1,741 |
Prescribing Profile
26
Unique Drugs
17.0
Anomaly Score
Patient Profile
66
Avg Age
63%
Female
1.87
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