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
9,894
Total Claims
$493K
Drug Cost
1,389
Beneficiaries
$355
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
58.9% vs 45.9% avg
-27%
Cost per patient vs peers
$355 vs $483 avg
-7%
Brand preference vs peers
3.8% 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
58.9%
Opioid Rate
5,826
Opioid Claims
$309K
Opioid Cost
15.7%
Long-Acting Rate
This provider's opioid prescribing rate of 58.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 379 claims · $239K
Generic: 9,515 claims · $253K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Methylnaltrexone Bromide | 21 | $72K |
| Oxycodone Hcl/Acetaminophen | 1,931 | $63K |
| Tapentadol Hcl | 33 | $48K |
| Hydrocodone/Acetaminophen | 1,790 | $47K |
| Naloxegol Oxalate | 64 | $30K |
| Oxycodone Myristate | 44 | $29K |
| Fentanyl | 263 | $27K |
| Oxycodone Hcl | 36 | $19K |
| Gabapentin | 828 | $17K |
| Tapentadol Hcl | 13 | $15K |
| Pregabalin | 569 | $13K |
| Morphine Sulfate | 416 | $13K |
| Oxycodone Hcl | 509 | $11K |
| Buprenorphine | 44 | $11K |
| Diclofenac Sodium | 84 | $7,605 |
Prescribing Profile
39
Unique Drugs
21.0
Anomaly Score
Patient Profile
71
Avg Age
61%
Female
1.54
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