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
5,514
Total Claims
$610K
Drug Cost
606
Beneficiaries
$1,007
Cost/Patient
Risk Score Breakdown 21/100
Score components are additive. Read full methodology
Peer Comparison vs. 2,621 Pain Management providers
+58%
Opioid rate vs peers
65.0% vs 41.3% avg
+153%
Cost per patient vs peers
$1,007 vs $399 avg
+157%
Brand preference vs peers
9.6% 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
65.0%
Opioid Rate
3,583
Opioid Claims
$524K
Opioid Cost
24.4%
Long-Acting Rate
This provider's opioid prescribing rate of 65.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 532 claims · $413K
Generic: 4,982 claims · $197K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Tapentadol Hcl | 111 | $167K |
| Buprenorphine Hcl | 175 | $150K |
| Buprenorphine | 177 | $64K |
| Fentanyl | 234 | $31K |
| Hydrocodone/Acetaminophen | 721 | $26K |
| Gabapentin | 17 | $17K |
| Tapentadol Hcl | 11 | $15K |
| Oxycodone Hcl | 12 | $15K |
| Oxycodone Hcl/Acetaminophen | 402 | $12K |
| Tramadol Hcl | 869 | $11K |
| Gabapentin | 335 | $9,400 |
| Pregabalin | 202 | $8,537 |
| Buprenorphine Hcl | 78 | $7,517 |
| Naloxegol Oxalate | 14 | $5,975 |
| Morphine Sulfate | 167 | $4,888 |
Prescribing Profile
36
Unique Drugs
21.0
Anomaly Score
Patient Profile
68
Avg Age
68%
Female
1.59
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