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
6,559
Total Claims
$1.1M
Drug Cost
475
Beneficiaries
$2,394
Cost/Patient
Risk Score Breakdown 21/100
Score components are additive. Read full methodology
Peer Comparison vs. 1,498 Interventional Pain Management providers
+34%
Opioid rate vs peers
61.6% vs 45.9% avg
+396%
Cost per patient vs peers
$2,394 vs $483 avg
+143%
Brand preference vs peers
10.0% 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
61.6%
Opioid Rate
4,039
Opioid Claims
$889K
Opioid Cost
31.4%
Long-Acting Rate
This provider's opioid prescribing rate of 61.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 657 claims · $541K
Generic: 5,902 claims · $596K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Hcl/Acetaminophen | 906 | $280K |
| Oxycodone Myristate | 208 | $192K |
| Methylnaltrexone Bromide | 25 | $57K |
| Oxycodone Hcl/Acetaminophen | 15 | $55K |
| Oxycodone Hcl | 54 | $54K |
| Oxymorphone Hcl | 47 | $54K |
| Oxycodone Hcl | 1,025 | $41K |
| Hydrocodone Bitartrate | 44 | $40K |
| Hydromorphone Hcl | 60 | $34K |
| Tapentadol Hcl | 33 | $29K |
| Hydrocodone/Acetaminophen | 627 | $26K |
| Naldemedine Tosylate | 41 | $25K |
| Morphine Sulfate | 723 | $23K |
| Ubrogepant | 14 | $22K |
| Buprenorphine Hcl | 29 | $20K |
Prescribing Profile
50
Unique Drugs
21.0
Anomaly Score
Patient Profile
67
Avg Age
65%
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