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
10,784
Total Claims
$735K
Drug Cost
895
Beneficiaries
$821
Cost/Patient
Risk Score Breakdown 26/100
Score components are additive. Read full methodology
Peer Comparison vs. 2,621 Pain Management providers
+71%
Opioid rate vs peers
70.4% vs 41.3% avg
+106%
Cost per patient vs peers
$821 vs $399 avg
+108%
Brand preference vs peers
7.8% 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
70.4%
Opioid Rate
7,597
Opioid Claims
$549K
Opioid Cost
25.9%
Long-Acting Rate
This provider's opioid prescribing rate of 70.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 842 claims · $416K
Generic: 9,942 claims · $319K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Myristate | 376 | $170K |
| Oxycodone Hcl/Acetaminophen | 2,413 | $96K |
| Oxycodone Hcl | 257 | $95K |
| Hydrocodone/Acetaminophen | 2,674 | $87K |
| Lidocaine | 56 | $66K |
| Morphine Sulfate | 1,035 | $26K |
| Methylnaltrexone Bromide | 11 | $26K |
| Pregabalin | 668 | $17K |
| Hydrocodone Bitartrate | 29 | $16K |
| Buprenorphine Hcl/Naloxone Hcl | 21 | $14K |
| Buprenorphine | 37 | $12K |
| Fentanyl | 140 | $12K |
| Linaclotide | 16 | $8,865 |
| Gabapentin | 480 | $8,605 |
| Buprenorphine Hcl | 14 | $8,514 |
Prescribing Profile
41
Unique Drugs
26.0
Anomaly Score
Patient Profile
65
Avg Age
62%
Female
1.87
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