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
5,967
Total Claims
$1.2M
Drug Cost
752
Beneficiaries
$1,543
Cost/Patient
Risk Score Breakdown 26/100
Score components are additive. Read full methodology
Peer Comparison vs. 1,498 Interventional Pain Management providers
+53%
Opioid rate vs peers
70.0% vs 45.9% avg
+220%
Cost per patient vs peers
$1,543 vs $483 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
70.0%
Opioid Rate
4,177
Opioid Claims
$957K
Opioid Cost
35.8%
Long-Acting Rate
This provider's opioid prescribing rate of 70.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 5,085 claims · $363K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Hcl | 281 | $315K |
| Oxycodone Myristate | 212 | $245K |
| Oxycodone Hcl/Acetaminophen | 21 | $67K |
| Oxycodone Hcl | 1,278 | $43K |
| Tapentadol Hcl | 24 | $42K |
| Oxymorphone Hcl | 35 | $34K |
| Morphine Sulfate | 406 | $31K |
| Buprenorphine Hcl | 34 | $26K |
| Oxycodone Hcl/Acetaminophen | 494 | $26K |
| Hydromorphone Hcl | 51 | $26K |
| Erenumab-Aooe | 28 | $23K |
| Naloxegol Oxalate | 36 | $21K |
| Fentanyl | 149 | $20K |
| Hydrocodone Bitartrate | 26 | $17K |
| Diazepam | 86 | $14K |
Prescribing Profile
46
Unique Drugs
26.0
Anomaly Score
Patient Profile
65
Avg Age
63%
Female
1.82
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