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
5,029
Total Claims
$627K
Drug Cost
769
Beneficiaries
$815
Cost/Patient
Risk Score Breakdown 17/100
Score components are additive. Read full methodology
Peer Comparison vs. 2,621 Pain Management providers
+80%
Opioid rate vs peers
74.4% vs 41.3% avg
+104%
Cost per patient vs peers
$815 vs $399 avg
+237%
Brand preference vs peers
12.7% vs 3.8% avg
Opioid Prescribing
74.4%
Opioid Rate
3,744
Opioid Claims
$557K
Opioid Cost
32.4%
Long-Acting Rate
This provider's opioid prescribing rate of 74.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 637 claims · $447K
Generic: 4,392 claims · $180K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Buprenorphine Hcl | 174 | $144K |
| Oxycodone Myristate | 120 | $98K |
| Oxycodone Hcl | 85 | $81K |
| Buprenorphine | 145 | $47K |
| Tapentadol Hcl | 36 | $47K |
| Hydrocodone/Acetaminophen | 965 | $26K |
| Oxycodone Hcl/Acetaminophen | 802 | $23K |
| Tapentadol Hcl | 17 | $18K |
| Lidocaine | 18 | $13K |
| Morphine Sulfate | 356 | $12K |
| Tramadol Hcl | 120 | $10K |
| Fentanyl | 101 | $9,961 |
| Oxymorphone Hcl | 12 | $9,286 |
| Oxycodone Hcl | 329 | $6,154 |
| Buprenorphine Hcl/Naloxone Hcl | 28 | $5,401 |
Prescribing Profile
32
Unique Drugs
17.0
Anomaly Score
Patient Profile
67
Avg Age
66%
Female
1.74
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