⚠️

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 →

Oliver JamesM.D.

Pain Management · Lexington, KY 40509

NPI: 1194727701

Share:

24

🟡 Moderate

Risk Flags

95th percentile opioid prescribingOpioid + benzodiazepine co-prescriberHigh fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

42,894

Total Claims

$2.9M

Drug Cost

2,263

Beneficiaries

$1,285

Cost/Patient

Risk Score Breakdown 24/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate (national percentile)+10
Opioid + benzodiazepine combo+8
High fills per patient+3

Score components are additive. Read full methodology

Peer Comparison vs. 2,621 Pain Management providers

+40%

Opioid rate vs peers

57.6% vs 41.3% avg

+222%

Cost per patient vs peers

$1,285 vs $399 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

57.6%

Opioid Rate

24,727

Opioid Claims

$1.6M

Opioid Cost

14.0%

Long-Acting Rate

This provider's opioid prescribing rate of 57.6% is above the 20% threshold that CMS considers elevated.

Brand vs Generic

100% generic

Brand: 0 claims · $0

Generic: 40,720 claims · $1.3M

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Oxycodone Myristate636$400K
Methylnaltrexone Bromide144$358K
Oxycodone Hcl/Acetaminophen6,617$272K
Hydrocodone/Acetaminophen9,128$255K
Oxycodone Hcl226$142K
Gabapentin8,188$127K
Naloxegol Oxalate250$115K
Pregabalin1,614$88K
Buprenorphine Hcl126$84K
Oxycodone Hcl2,569$81K
Diclofenac Sodium1,152$80K
Buprenorphine Hcl/Naloxone Hcl1,035$72K
Hydrocodone Bitartrate70$48K
Morphine Sulfate1,381$46K
Tapentadol Hcl31$44K

Prescribing Profile

69

Unique Drugs

24.0

Anomaly Score

Patient Profile

65

Avg Age

59%

Female

1.51

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