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
10,467
Total Claims
$434K
Drug Cost
937
Beneficiaries
$463
Cost/Patient
Risk Score Breakdown 26/100
Score components are additive. Read full methodology
Peer Comparison vs. 1,498 Interventional Pain Management providers
+78%
Opioid rate vs peers
81.6% vs 45.9% avg
-4%
Cost per patient vs peers
$463 vs $483 avg
+59%
Brand preference vs peers
6.6% 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
81.6%
Opioid Rate
8,536
Opioid Claims
$255K
Opioid Cost
28.5%
Long-Acting Rate
This provider's opioid prescribing rate of 81.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 687 claims · $70K
Generic: 9,780 claims · $364K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Buprenorphine Hcl/Naloxone Hcl | 337 | $104K |
| Hydrocodone/Acetaminophen | 2,629 | $77K |
| Oxycodone Hcl/Acetaminophen | 1,745 | $61K |
| Morphine Sulfate | 1,840 | $33K |
| Tizanidine Hcl | 824 | $28K |
| Buprenorphine Hcl/Naloxone Hcl | 35 | $27K |
| Morphine Sulfate | 963 | $19K |
| Oxycodone Myristate | 27 | $18K |
| Fentanyl | 266 | $16K |
| Oxycodone Hcl | 26 | $9,313 |
| Oxycodone Hcl | 356 | $5,438 |
| Pregabalin | 57 | $5,261 |
| Baclofen | 103 | $3,565 |
| Gabapentin | 132 | $3,536 |
| Morphine Sulfate | 12 | $3,513 |
Prescribing Profile
20
Unique Drugs
26.0
Anomaly Score
Patient Profile
66
Avg Age
56%
Female
2.19
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