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
6,512
Total Claims
$417K
Drug Cost
439
Beneficiaries
$949
Cost/Patient
Risk Score Breakdown 21/100
Score components are additive. Read full methodology
Peer Comparison vs. 3,186 Anesthesiology providers
+57%
Opioid rate vs peers
54.7% vs 34.8% avg
+125%
Cost per patient vs peers
$949 vs $422 avg
+18%
Brand preference vs peers
5.6% 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
54.7%
Opioid Rate
3,564
Opioid Claims
$272K
Opioid Cost
16.7%
Long-Acting Rate
This provider's opioid prescribing rate of 54.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 363 claims · $200K
Generic: 6,149 claims · $216K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Buprenorphine Hcl | 110 | $89K |
| Oxycodone Hcl/Acetaminophen | 908 | $40K |
| Hydrocodone/Acetaminophen | 945 | $38K |
| Buprenorphine | 76 | $31K |
| Oxycodone Hcl | 749 | $27K |
| Rimegepant Sulfate | 12 | $24K |
| Naloxegol Oxalate | 40 | $17K |
| Pregabalin | 293 | $13K |
| Gabapentin | 474 | $12K |
| Lidocaine | 71 | $10K |
| Buprenorphine | 15 | $9,384 |
| Methadone Hcl | 259 | $9,059 |
| Tizanidine Hcl | 432 | $6,389 |
| Morphine Sulfate | 102 | $6,332 |
| Fentanyl | 32 | $3,907 |
Prescribing Profile
51
Unique Drugs
21.0
Anomaly Score
Patient Profile
69
Avg Age
60%
Female
1.45
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