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 →Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
6,675
Total Claims
$354K
Drug Cost
667
Beneficiaries
$531
Cost/Patient
Risk Score Breakdown 32/100
Score components are additive. Read full methodology
Peer Comparison vs. 2,621 Pain Management providers
+69%
Opioid rate vs peers
69.7% vs 41.3% avg
+33%
Cost per patient vs peers
$531 vs $399 avg
+36%
Brand preference vs peers
5.1% vs 3.8% 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
69.7%
Opioid Rate
4,654
Opioid Claims
$269K
Opioid Cost
16.5%
Long-Acting Rate
This provider's opioid prescribing rate of 69.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 340 claims · $154K
Generic: 6,335 claims · $201K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Myristate | 123 | $78K |
| Hydrocodone/Acetaminophen | 1,786 | $54K |
| Oxycodone Hcl/Acetaminophen | 843 | $33K |
| Oxycodone Hcl | 784 | $19K |
| Oxycodone Hcl | 31 | $16K |
| Fentanyl | 76 | $15K |
| Buprenorphine Hcl | 28 | $14K |
| Buprenorphine | 36 | $11K |
| Morphine Sulfate | 410 | $11K |
| Pregabalin | 267 | $8,100 |
| Sumatriptan Succinate | 15 | $7,638 |
| Buprenorphine Hcl/Naloxone Hcl | 44 | $5,839 |
| Tiagabine Hcl | 21 | $5,406 |
| Gabapentin | 288 | $4,666 |
| Tramadol Hcl | 297 | $3,456 |
Prescribing Profile
44
Unique Drugs
32.0
Anomaly Score
Patient Profile
70
Avg Age
57%
Female
1.61
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