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
7,086
Total Claims
$590K
Drug Cost
482
Beneficiaries
$1,225
Cost/Patient
Risk Score Breakdown 21/100
Score components are additive. Read full methodology
Peer Comparison vs. 3,186 Anesthesiology providers
+78%
Opioid rate vs peers
62.1% vs 34.8% avg
+190%
Cost per patient vs peers
$1,225 vs $422 avg
+126%
Brand preference vs peers
10.7% vs 4.7% 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
62.1%
Opioid Rate
4,397
Opioid Claims
$372K
Opioid Cost
20.6%
Long-Acting Rate
This provider's opioid prescribing rate of 62.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 757 claims · $388K
Generic: 6,329 claims · $202K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Myristate | 136 | $76K |
| Gabapentin Enacarbil | 82 | $64K |
| Hydrocodone/Acetaminophen | 1,423 | $51K |
| Buprenorphine Hcl | 81 | $51K |
| Rimegepant Sulfate | 22 | $32K |
| Methylnaltrexone Bromide | 14 | $32K |
| Oxycodone Hcl | 60 | $30K |
| Oxycodone Hcl/Acetaminophen | 694 | $29K |
| Buprenorphine | 68 | $25K |
| Tapentadol Hcl | 17 | $22K |
| Tramadol Hcl | 260 | $21K |
| Hydrocodone Bitartrate | 36 | $13K |
| Fentanyl | 77 | $9,511 |
| Gabapentin | 452 | $9,191 |
| Oxycodone Hcl | 435 | $9,174 |
Prescribing Profile
50
Unique Drugs
21.0
Anomaly Score
Patient Profile
68
Avg Age
62%
Female
1.63
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