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
5,466
Total Claims
$213K
Drug Cost
760
Beneficiaries
$280
Cost/Patient
Risk Score Breakdown 17/100
Score components are additive. Read full methodology
Peer Comparison vs. 2,621 Pain Management providers
+93%
Opioid rate vs peers
79.7% vs 41.3% avg
-30%
Cost per patient vs peers
$280 vs $399 avg
-41%
Brand preference vs peers
2.2% vs 3.8% avg
Opioid Prescribing
79.7%
Opioid Rate
4,356
Opioid Claims
$162K
Opioid Cost
7.1%
Long-Acting Rate
This provider's opioid prescribing rate of 79.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 121 claims · $24K
Generic: 5,345 claims · $189K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Hydrocodone/Acetaminophen | 1,727 | $47K |
| Oxycodone Hcl/Acetaminophen | 1,063 | $41K |
| Oxycodone Hcl | 658 | $12K |
| Fentanyl | 97 | $11K |
| Lidocaine | 36 | $7,690 |
| Naloxegol Oxalate | 12 | $6,641 |
| Naloxone Hcl | 71 | $5,811 |
| Tizanidine Hcl | 238 | $4,244 |
| Gabapentin | 241 | $4,195 |
| Tramadol Hcl | 322 | $3,333 |
| Buprenorphine | 11 | $2,989 |
| Pregabalin | 102 | $2,945 |
| Acetaminophen With Codeine | 111 | $2,805 |
| Buprenorphine Hcl/Naloxone Hcl | 11 | $2,770 |
| Morphine Sulfate | 67 | $2,363 |
Prescribing Profile
26
Unique Drugs
17.0
Anomaly Score
Patient Profile
68
Avg Age
62%
Female
2.46
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