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
6,680
Total Claims
$474K
Drug Cost
798
Beneficiaries
$594
Cost/Patient
Risk Score Breakdown 26/100
Score components are additive. Read full methodology
Peer Comparison vs. 1,498 Interventional Pain Management providers
+77%
Opioid rate vs peers
81.2% vs 45.9% avg
+23%
Cost per patient vs peers
$594 vs $483 avg
+79%
Brand preference vs peers
7.4% 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
81.2%
Opioid Rate
5,424
Opioid Claims
$427K
Opioid Cost
19.7%
Long-Acting Rate
This provider's opioid prescribing rate of 81.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 494 claims · $268K
Generic: 6,186 claims · $207K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Hydrocodone/Acetaminophen | 2,688 | $82K |
| Oxycodone Hcl | 125 | $72K |
| Oxycodone Myristate | 113 | $65K |
| Buprenorphine Hcl | 59 | $42K |
| Tapentadol Hcl | 27 | $24K |
| Hydrocodone Bitartrate | 45 | $19K |
| Morphine Sulfate | 419 | $18K |
| Oxycodone Hcl/Acetaminophen | 496 | $16K |
| Hydrocodone Bitartrate | 34 | $14K |
| Tapentadol Hcl | 11 | $13K |
| Fentanyl | 123 | $12K |
| Oxycodone Hcl | 574 | $12K |
| Buprenorphine | 23 | $7,609 |
| Gabapentin | 237 | $5,966 |
| Morphine Sulfate | 137 | $5,659 |
Prescribing Profile
38
Unique Drugs
26.0
Anomaly Score
Patient Profile
68
Avg Age
65%
Female
1.78
Avg Risk Score
Explore More
Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About