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
11,113
Total Claims
$690K
Drug Cost
1,851
Beneficiaries
$373
Cost/Patient
Risk Score Breakdown 26/100
Score components are additive. Read full methodology
Peer Comparison vs. 2,621 Pain Management providers
+86%
Opioid rate vs peers
76.9% vs 41.3% avg
-6%
Cost per patient vs peers
$373 vs $399 avg
+76%
Brand preference vs peers
6.6% 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
76.9%
Opioid Rate
8,546
Opioid Claims
$555K
Opioid Cost
24.9%
Long-Acting Rate
This provider's opioid prescribing rate of 76.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 735 claims · $298K
Generic: 10,378 claims · $392K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Hcl/Acetaminophen | 1,942 | $91K |
| Oxycodone Myristate | 145 | $81K |
| Hydrocodone/Acetaminophen | 1,853 | $65K |
| Buprenorphine | 192 | $56K |
| Tapentadol Hcl | 40 | $51K |
| Oxycodone Hcl | 69 | $47K |
| Morphine Sulfate | 1,052 | $29K |
| Tapentadol Hcl | 27 | $24K |
| Oxycodone Hcl | 963 | $21K |
| Fentanyl | 229 | $20K |
| Morphine Sulfate | 499 | $18K |
| Naloxegol Oxalate | 30 | $17K |
| Pregabalin | 380 | $15K |
| Gabapentin | 567 | $12K |
| Tramadol Hcl | 832 | $11K |
Prescribing Profile
45
Unique Drugs
26.0
Anomaly Score
Patient Profile
70
Avg Age
59%
Female
1.91
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