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 →21
🟡 Moderate
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
12,137
Total Claims
$1.5M
Drug Cost
722
Beneficiaries
$2,059
Cost/Patient
Risk Score Breakdown 21/100
Score components are additive. Read full methodology
Peer Comparison vs. 1,498 Interventional Pain Management providers
+28%
Opioid rate vs peers
58.6% vs 45.9% avg
+326%
Cost per patient vs peers
$2,059 vs $483 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
58.6%
Opioid Rate
7,112
Opioid Claims
$461K
Opioid Cost
14.6%
Long-Acting Rate
This provider's opioid prescribing rate of 58.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 11,329 claims · $730K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Diclofenac Sodium | 584 | $297K |
| Diclofenac Sodium | 55 | $289K |
| Hydrocodone/Acetaminophen | 3,805 | $169K |
| Methylnaltrexone Bromide | 33 | $81K |
| Naloxegol Oxalate | 169 | $70K |
| Oxycodone Hcl | 78 | $67K |
| Lidocaine | 346 | $40K |
| Lidocaine | 72 | $38K |
| Rimegepant Sulfate | 12 | $25K |
| Tapentadol Hcl | 15 | $24K |
| Fentanyl | 198 | $24K |
| Morphine Sulfate | 504 | $23K |
| Butalbit/Acetamin/Caff/Codeine | 13 | $22K |
| Naloxone Hcl | 232 | $20K |
| Oxycodone Hcl | 594 | $19K |
Prescribing Profile
58
Unique Drugs
21.0
Anomaly Score
Patient Profile
67
Avg Age
67%
Female
1.94
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