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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 →

Stephen PylesMD

Pain Management · Ocala, FL 34471

NPI: 1386638674

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26

🟡 Moderate

Risk Flags

99th percentile opioid prescribingOpioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

8,526

Total Claims

$335K

Drug Cost

950

Beneficiaries

$352

Cost/Patient

Risk Score Breakdown 26/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate (national percentile)+15
Opioid + benzodiazepine combo+8

Score components are additive. Read full methodology

Peer Comparison vs. 2,621 Pain Management providers

+89%

Opioid rate vs peers

77.9% vs 41.3% avg

-12%

Cost per patient vs peers

$352 vs $399 avg

+28%

Brand preference vs peers

4.8% vs 3.8% 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

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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

77.9%

Opioid Rate

6,640

Opioid Claims

$258K

Opioid Cost

10.6%

Long-Acting Rate

This provider's opioid prescribing rate of 77.9% is above the 20% threshold that CMS considers elevated.

Brand vs Generic

95% generic

Brand: 410 claims · $149K

Generic: 8,116 claims · $186K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Hydrocodone/Acetaminophen2,608$61K
Oxycodone Myristate74$58K
Oxycodone Hcl/Acetaminophen1,365$48K
Oxycodone Hcl41$26K
Oxycodone Hcl981$15K
Naloxegol Oxalate31$13K
Morphine Sulfate330$9,160
Tapentadol Hcl13$8,027
Gabapentin478$7,106
Tramadol Hcl546$6,283
Morphine Sulfate242$5,318
Diclofenac Sodium41$4,439
Methadone Hcl259$4,438
Fentanyl45$3,655
Pregabalin126$3,161

Prescribing Profile

35

Unique Drugs

26.0

Anomaly Score

Patient Profile

68

Avg Age

60%

Female

1.92

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