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
7,377
Total Claims
$389K
Drug Cost
654
Beneficiaries
$595
Cost/Patient
Risk Score Breakdown 17/100
Score components are additive. Read full methodology
Peer Comparison vs. 2,621 Pain Management providers
+99%
Opioid rate vs peers
82.0% vs 41.3% avg
+49%
Cost per patient vs peers
$595 vs $399 avg
+49%
Brand preference vs peers
5.6% vs 3.8% avg
Opioid Prescribing
82.0%
Opioid Rate
6,051
Opioid Claims
$342K
Opioid Cost
11.5%
Long-Acting Rate
This provider's opioid prescribing rate of 82.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 412 claims · $138K
Generic: 6,965 claims · $251K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Hydrocodone/Acetaminophen | 2,569 | $94K |
| Buprenorphine Hcl | 69 | $65K |
| Oxycodone Hcl/Acetaminophen | 1,518 | $59K |
| Oxycodone Myristate | 39 | $21K |
| Buprenorphine | 56 | $21K |
| Buprenorphine | 16 | $15K |
| Oxycodone Hcl | 547 | $13K |
| Morphine Sulfate | 425 | $12K |
| Hydromorphone Hcl | 413 | $8,363 |
| Naldemedine Tosylate | 12 | $7,533 |
| Fentanyl | 13 | $6,848 |
| Oxycodone Hcl | 25 | $6,730 |
| Hydrocodone Bitartrate | 14 | $6,425 |
| Naloxone Hcl | 71 | $6,145 |
| Gabapentin | 236 | $5,803 |
Prescribing Profile
28
Unique Drugs
17.0
Anomaly Score
Patient Profile
67
Avg Age
61%
Female
1.83
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