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
9,262
Total Claims
$727K
Drug Cost
1,145
Beneficiaries
$635
Cost/Patient
Risk Score Breakdown 26/100
Score components are additive. Read full methodology
Peer Comparison vs. 2,621 Pain Management providers
+105%
Opioid rate vs peers
84.4% vs 41.3% avg
+59%
Cost per patient vs peers
$635 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
84.4%
Opioid Rate
7,817
Opioid Claims
$503K
Opioid Cost
25.1%
Long-Acting Rate
This provider's opioid prescribing rate of 84.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 8,434 claims · $285K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Myristate | 187 | $84K |
| Oxycodone Hcl | 140 | $75K |
| Hydrocodone/Acetaminophen | 1,824 | $51K |
| Oxycodone Hcl/Acetaminophen | 1,218 | $45K |
| Tapentadol Hcl | 31 | $44K |
| Buprenorphine Hcl/Naloxone Hcl | 23 | $38K |
| Tramadol Hcl | 421 | $33K |
| Oxycodone Hcl | 1,411 | $30K |
| Hydrocodone Bitartrate | 58 | $26K |
| Rimegepant Sulfate | 13 | $22K |
| Pregabalin | 483 | $21K |
| Oxycodone Hcl | 12 | $20K |
| Morphine Sulfate | 873 | $19K |
| Buprenorphine Hcl/Naloxone Hcl | 112 | $15K |
| Fentanyl | 130 | $13K |
Prescribing Profile
36
Unique Drugs
26.0
Anomaly Score
Patient Profile
72
Avg Age
67%
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