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
12,670
Total Claims
$719K
Drug Cost
1,316
Beneficiaries
$546
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
74.2% vs 41.3% avg
+37%
Cost per patient vs peers
$546 vs $399 avg
+32%
Brand preference vs peers
4.9% vs 3.8% avg
Opioid Prescribing
74.2%
Opioid Rate
9,404
Opioid Claims
$580K
Opioid Cost
10.2%
Long-Acting Rate
This provider's opioid prescribing rate of 74.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 626 claims · $342K
Generic: 12,044 claims · $376K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Buprenorphine Hcl | 161 | $120K |
| Hydrocodone/Acetaminophen | 3,966 | $118K |
| Buprenorphine | 290 | $98K |
| Oxycodone Hcl/Acetaminophen | 2,513 | $98K |
| Methylnaltrexone Bromide | 24 | $58K |
| Buprenorphine | 48 | $42K |
| Tapentadol Hcl | 22 | $21K |
| Pregabalin | 858 | $20K |
| Oxycodone Myristate | 31 | $18K |
| Oxycodone Hcl | 25 | $13K |
| Naloxegol Oxalate | 27 | $12K |
| Oxycodone Hcl | 601 | $12K |
| Tramadol Hcl | 1,010 | $12K |
| Gabapentin | 573 | $8,700 |
| Morphine Sulfate | 301 | $7,394 |
Prescribing Profile
43
Unique Drugs
17.0
Anomaly Score
Patient Profile
69
Avg Age
67%
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