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 →🚫 This provider appears on the OIG List of Excluded Individuals/Entities (LEIE)
Exclusion type: 1128a4 · Date: 20250619 · State: KY
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
23,514
Total Claims
$2.1M
Drug Cost
1,251
Beneficiaries
$1,663
Cost/Patient
Risk Score Breakdown 55/100
Score components are additive. Read full methodology
Peer Comparison vs. 2,621 Pain Management providers
+27%
Opioid rate vs peers
52.5% vs 41.3% avg
+317%
Cost per patient vs peers
$1,663 vs $399 avg
+56%
Brand preference vs peers
5.8% 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.
Opioid Prescribing
52.5%
Opioid Rate
12,342
Opioid Claims
$1.5M
Opioid Cost
22.3%
Long-Acting Rate
This provider's opioid prescribing rate of 52.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 1,374 claims · $1.3M
Generic: 22,140 claims · $756K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Hcl | 457 | $515K |
| Oxycodone Myristate | 248 | $345K |
| Oxycodone Hcl/Acetaminophen | 3,296 | $163K |
| Hydrocodone/Acetaminophen | 3,525 | $124K |
| Methylnaltrexone Bromide | 39 | $120K |
| Oxycodone Hcl | 2,242 | $87K |
| Buprenorphine Hcl | 58 | $50K |
| Fentanyl | 332 | $45K |
| Gabapentin | 2,154 | $41K |
| Linaclotide | 51 | $39K |
| Rimegepant Sulfate | 29 | $38K |
| Pregabalin | 606 | $38K |
| Morphine Sulfate | 995 | $35K |
| Oxymorphone Hcl | 41 | $32K |
| Naloxegol Oxalate | 48 | $27K |
Prescribing Profile
78
Unique Drugs
55.0
Anomaly Score
Patient Profile
67
Avg Age
60%
Female
1.53
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