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 →24
🟡 Moderate
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
10,221
Total Claims
$724K
Drug Cost
529
Beneficiaries
$1,368
Cost/Patient
Risk Score Breakdown 24/100
Score components are additive. Read full methodology
Peer Comparison vs. 1,498 Interventional Pain Management providers
+27%
Opioid rate vs peers
58.2% vs 45.9% avg
+183%
Cost per patient vs peers
$1,368 vs $483 avg
+80%
Brand preference vs peers
7.4% vs 4.1% 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
58.2%
Opioid Rate
5,945
Opioid Claims
$549K
Opioid Cost
24.0%
Long-Acting Rate
This provider's opioid prescribing rate of 58.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 759 claims · $352K
Generic: 9,462 claims · $372K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Myristate | 280 | $144K |
| Oxycodone Hcl/Acetaminophen | 1,683 | $96K |
| Oxycodone Hcl | 175 | $88K |
| Oxycodone Hcl/Acetaminophen | 14 | $40K |
| Oxycodone Hcl | 1,399 | $38K |
| Hydrocodone/Acetaminophen | 945 | $36K |
| Naloxegol Oxalate | 44 | $25K |
| Gabapentin | 764 | $18K |
| Morphine Sulfate | 656 | $18K |
| Tapentadol Hcl | 12 | $18K |
| Buprenorphine | 12 | $13K |
| Buprenorphine | 28 | $12K |
| Hydrocodone Bitartrate | 12 | $12K |
| Tizanidine Hcl | 597 | $11K |
| Fentanyl | 103 | $9,323 |
Prescribing Profile
51
Unique Drugs
24.0
Anomaly Score
Patient Profile
67
Avg Age
63%
Female
1.88
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