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 →26
🟡 Moderate
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
8,203
Total Claims
$423K
Drug Cost
610
Beneficiaries
$693
Cost/Patient
Risk Score Breakdown 26/100
Score components are additive. Read full methodology
Peer Comparison vs. 1,498 Interventional Pain Management providers
+67%
Opioid rate vs peers
76.8% vs 45.9% avg
+44%
Cost per patient vs peers
$693 vs $483 avg
-13%
Brand preference vs peers
3.6% 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
76.8%
Opioid Rate
6,301
Opioid Claims
$362K
Opioid Cost
9.4%
Long-Acting Rate
This provider's opioid prescribing rate of 76.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 296 claims · $145K
Generic: 7,907 claims · $277K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Hydrocodone/Acetaminophen | 3,190 | $127K |
| Oxycodone Myristate | 69 | $60K |
| Oxycodone Hcl | 53 | $53K |
| Oxycodone Hcl | 1,046 | $34K |
| Oxycodone Hcl/Acetaminophen | 501 | $22K |
| Fentanyl | 183 | $17K |
| Morphine Sulfate | 216 | $11K |
| Naloxegol Oxalate | 25 | $9,356 |
| Hydrocodone Bitartrate | 13 | $7,559 |
| Gabapentin | 382 | $7,203 |
| Pregabalin | 168 | $7,127 |
| Morphine Sulfate | 156 | $6,539 |
| Hydromorphone Hcl | 215 | $5,603 |
| Tramadol Hcl | 514 | $5,329 |
| Hydrocodone/Ibuprofen | 40 | $5,321 |
Prescribing Profile
36
Unique Drugs
26.0
Anomaly Score
Patient Profile
65
Avg Age
59%
Female
1.67
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