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
4,778
Total Claims
$311K
Drug Cost
766
Beneficiaries
$406
Cost/Patient
Risk Score Breakdown 16/100
Score components are additive. Read full methodology
Peer Comparison vs. 2,621 Pain Management providers
+87%
Opioid rate vs peers
77.0% vs 41.3% avg
+2%
Cost per patient vs peers
$406 vs $399 avg
+38%
Brand preference vs peers
5.2% vs 3.8% avg
Opioid Prescribing
77.0%
Opioid Rate
3,680
Opioid Claims
$265K
Opioid Cost
18.6%
Long-Acting Rate
This provider's opioid prescribing rate of 77.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 248 claims · $133K
Generic: 4,530 claims · $178K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Hcl/Acetaminophen | 11 | $45K |
| Buprenorphine Hcl | 44 | $33K |
| Oxycodone Hcl/Acetaminophen | 957 | $31K |
| Hydrocodone/Acetaminophen | 1,111 | $28K |
| Tapentadol Hcl | 15 | $23K |
| Buprenorphine | 63 | $22K |
| Tapentadol Hcl | 12 | $17K |
| Oxycodone Hcl | 29 | $15K |
| Fentanyl | 143 | $11K |
| Oxycodone Myristate | 16 | $9,503 |
| Oxycodone Hcl | 432 | $9,346 |
| Morphine Sulfate | 300 | $7,921 |
| Gabapentin | 288 | $4,228 |
| Tramadol Hcl | 30 | $2,264 |
| Morphine Sulfate | 66 | $2,110 |
Prescribing Profile
28
Unique Drugs
16.0
Anomaly Score
Patient Profile
70
Avg Age
70%
Female
1.76
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 of wrongdoing.Methodology · About · Dispute this data