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
5,444
Total Claims
$265K
Drug Cost
996
Beneficiaries
$266
Cost/Patient
Risk Score Breakdown 12/100
Score components are additive. Read full methodology
Peer Comparison vs. 2,621 Pain Management providers
+49%
Opioid rate vs peers
61.6% vs 41.3% avg
-33%
Cost per patient vs peers
$266 vs $399 avg
-5%
Brand preference vs peers
3.6% vs 3.8% avg
Opioid Prescribing
61.6%
Opioid Rate
3,352
Opioid Claims
$160K
Opioid Cost
11.2%
Long-Acting Rate
This provider's opioid prescribing rate of 61.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 195 claims · $119K
Generic: 5,249 claims · $145K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Hydrocodone/Acetaminophen | 1,985 | $53K |
| Buprenorphine Hcl | 65 | $46K |
| Buprenorphine | 95 | $27K |
| Rimegepant Sulfate | 13 | $15K |
| Pregabalin | 327 | $14K |
| Oxycodone Hcl/Acetaminophen | 350 | $9,025 |
| Diclofenac Sodium | 109 | $8,734 |
| Gabapentin | 369 | $7,518 |
| Naloxegol Oxalate | 14 | $7,289 |
| Lidocaine | 75 | $5,609 |
| Duloxetine Hcl | 147 | $3,770 |
| Tizanidine Hcl | 349 | $3,702 |
| Tramadol Hcl | 56 | $3,068 |
| Baclofen | 113 | $2,364 |
| Acetaminophen With Codeine | 179 | $2,054 |
Prescribing Profile
28
Unique Drugs
12.0
Anomaly Score
Patient Profile
69
Avg Age
69%
Female
2.09
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