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
5,266
Total Claims
$122K
Drug Cost
387
Beneficiaries
$315
Cost/Patient
Risk Score Breakdown 29/100
Score components are additive. Read full methodology
Peer Comparison vs. 2,621 Pain Management providers
+117%
Opioid rate vs peers
89.4% vs 41.3% avg
-21%
Cost per patient vs peers
$315 vs $399 avg
-67%
Brand preference vs peers
1.2% vs 3.8% avg
Opioid Prescribing
89.4%
Opioid Rate
4,710
Opioid Claims
$114K
Opioid Cost
5.5%
Long-Acting Rate
This provider's opioid prescribing rate of 89.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 65 claims · $1,017
Generic: 5,201 claims · $121K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Hydrocodone/Acetaminophen | 3,463 | $88K |
| Morphine Sulfate | 244 | $7,850 |
| Tizanidine Hcl | 264 | $3,928 |
| Hydromorphone Hcl | 234 | $3,743 |
| Oxycodone Hcl | 318 | $3,584 |
| Oxycodone Hcl/Acetaminophen | 181 | $3,243 |
| Codeine/Butalbital/Asa/Caffein | 19 | $2,605 |
| Acetaminophen With Codeine | 117 | $2,466 |
| Gabapentin | 143 | $1,986 |
| Tramadol Hcl | 112 | $1,009 |
| Baclofen | 25 | $391 |
| Methocarbamol | 43 | $369 |
| Amitriptyline Hcl | 33 | $359 |
| Methylprednisolone | 31 | $229 |
Prescribing Profile
14
Unique Drugs
29.0
Anomaly Score
Patient Profile
65
Avg Age
65%
Female
2.01
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