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
6,488
Total Claims
$307K
Drug Cost
478
Beneficiaries
$643
Cost/Patient
Risk Score Breakdown 21/100
Score components are additive. Read full methodology
Peer Comparison vs. 1,498 Interventional Pain Management providers
+42%
Opioid rate vs peers
65.1% vs 45.9% avg
+33%
Cost per patient vs peers
$643 vs $483 avg
-1%
Brand preference vs peers
4.1% 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
65.1%
Opioid Rate
4,222
Opioid Claims
$220K
Opioid Cost
20.2%
Long-Acting Rate
This provider's opioid prescribing rate of 65.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 266 claims · $123K
Generic: 6,222 claims · $185K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Myristate | 85 | $66K |
| Hydrocodone/Acetaminophen | 1,938 | $60K |
| Tapentadol Hcl | 12 | $16K |
| Morphine Sulfate | 468 | $15K |
| Oxycodone Hcl/Acetaminophen | 368 | $14K |
| Buprenorphine Hcl/Naloxone Hcl | 54 | $13K |
| Oxycodone Hcl | 16 | $12K |
| Fentanyl | 148 | $12K |
| Lidocaine | 71 | $11K |
| Pregabalin | 175 | $9,373 |
| Gabapentin | 376 | $6,192 |
| Buprenorphine Hcl | 123 | $5,526 |
| Oxycodone Hcl | 305 | $5,230 |
| Tramadol Hcl | 413 | $4,109 |
| Morphine Sulfate | 115 | $3,496 |
Prescribing Profile
41
Unique Drugs
21.0
Anomaly Score
Patient Profile
70
Avg Age
69%
Female
2.36
Avg Risk Score
Explore More
Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About