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
5,984
Total Claims
$274K
Drug Cost
1,087
Beneficiaries
$252
Cost/Patient
Risk Score Breakdown 12/100
Score components are additive. Read full methodology
Peer Comparison vs. 2,621 Pain Management providers
+49%
Opioid rate vs peers
61.5% vs 41.3% avg
-37%
Cost per patient vs peers
$252 vs $399 avg
-10%
Brand preference vs peers
3.4% vs 3.8% avg
Opioid Prescribing
61.5%
Opioid Rate
3,680
Opioid Claims
$186K
Opioid Cost
11.8%
Long-Acting Rate
This provider's opioid prescribing rate of 61.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 202 claims · $127K
Generic: 5,782 claims · $147K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Buprenorphine | 107 | $35K |
| Hydrocodone/Acetaminophen | 1,520 | $32K |
| Oxycodone Hcl/Acetaminophen | 904 | $28K |
| Methylnaltrexone Bromide | 13 | $25K |
| Buprenorphine Hcl | 28 | $25K |
| Naloxegol Oxalate | 53 | $22K |
| Oxycodone Hcl | 34 | $20K |
| Gabapentin | 838 | $11K |
| Pregabalin | 380 | $9,395 |
| Oxycodone Myristate | 11 | $7,182 |
| Oxycodone Hcl | 255 | $6,563 |
| Fentanyl | 51 | $4,850 |
| Morphine Sulfate | 131 | $3,468 |
| Tramadol Hcl | 47 | $3,385 |
| Tramadol Hcl | 483 | $3,130 |
Prescribing Profile
29
Unique Drugs
12.0
Anomaly Score
Patient Profile
69
Avg Age
63%
Female
1.64
Avg Risk Score
Explore More
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