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
8,526
Total Claims
$335K
Drug Cost
950
Beneficiaries
$352
Cost/Patient
Risk Score Breakdown 26/100
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
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
Brand: 410 claims · $149K
Generic: 8,116 claims · $186K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Hydrocodone/Acetaminophen | 2,608 | $61K |
| Oxycodone Myristate | 74 | $58K |
| Oxycodone Hcl/Acetaminophen | 1,365 | $48K |
| Oxycodone Hcl | 41 | $26K |
| Oxycodone Hcl | 981 | $15K |
| Naloxegol Oxalate | 31 | $13K |
| Morphine Sulfate | 330 | $9,160 |
| Tapentadol Hcl | 13 | $8,027 |
| Gabapentin | 478 | $7,106 |
| Tramadol Hcl | 546 | $6,283 |
| Morphine Sulfate | 242 | $5,318 |
| Diclofenac Sodium | 41 | $4,439 |
| Methadone Hcl | 259 | $4,438 |
| Fentanyl | 45 | $3,655 |
| Pregabalin | 126 | $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