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
8,021
Total Claims
$502K
Drug Cost
564
Beneficiaries
$891
Cost/Patient
Risk Score Breakdown 21/100
Score components are additive. Read full methodology
Peer Comparison vs. 2,621 Pain Management providers
+43%
Opioid rate vs peers
59.1% vs 41.3% avg
+123%
Cost per patient vs peers
$891 vs $399 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
59.1%
Opioid Rate
4,742
Opioid Claims
$299K
Opioid Cost
24.3%
Long-Acting Rate
This provider's opioid prescribing rate of 59.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 7,729 claims · $306K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Hcl | 1,689 | $81K |
| Oxycodone Myristate | 58 | $50K |
| Oxycodone Hcl/Acetaminophen | 801 | $43K |
| Hydrocodone/Acetaminophen | 1,000 | $43K |
| Pregabalin | 32 | $26K |
| Naloxegol Oxalate | 46 | $26K |
| Linaclotide | 31 | $22K |
| Pregabalin | 592 | $21K |
| Fentanyl | 196 | $19K |
| Oxycodone Hcl | 12 | $16K |
| Hydrocodone Bitartrate | 11 | $15K |
| Methadone Hcl | 610 | $15K |
| Rimegepant Sulfate | 14 | $14K |
| Gabapentin | 512 | $14K |
| Morphine Sulfate | 259 | $8,573 |
Prescribing Profile
50
Unique Drugs
21.0
Anomaly Score
Patient Profile
67
Avg Age
62%
Female
1.66
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