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
25,400
Total Claims
$2.2M
Drug Cost
693
Beneficiaries
$3,133
Cost/Patient
Risk Score Breakdown 12/100
Score components are additive. Read full methodology
Peer Comparison vs. 1,498 Interventional Pain Management providers
-47%
Opioid rate vs peers
24.2% vs 45.9% avg
+549%
Cost per patient vs peers
$3,133 vs $483 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
🔎 Data Overview
Cost per patient is 549% above the specialty average. Extreme cost outliers may indicate prescribing of unnecessarily expensive brand-name drugs or inappropriate drug utilization.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
24.2%
Opioid Rate
6,152
Opioid Claims
$118K
Opioid Cost
1.6%
Long-Acting Rate
This provider's opioid prescribing rate of 24.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 24,091 claims · $1.2M
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Dihydroergotamine Mesylate | 240 | $490K |
| Sumatriptan Succinate | 252 | $248K |
| Icosapent Ethyl | 533 | $195K |
| Icosapent Ethyl | 718 | $191K |
| Semaglutide | 160 | $161K |
| Semaglutide | 113 | $116K |
| Diclofenac Sodium | 1,347 | $87K |
| Oxycodone Hcl/Acetaminophen | 3,349 | $68K |
| Lidocaine | 1,716 | $66K |
| Naloxone Hcl | 783 | $65K |
| Diclofenac Potassium | 25 | $57K |
| Diclofenac Sodium | 1,922 | $51K |
| Rimegepant Sulfate | 31 | $48K |
| Hydrocodone/Acetaminophen | 2,249 | $39K |
| Omega-3 Acid Ethyl Esters | 341 | $32K |
Prescribing Profile
Patient Profile
60
Avg Age
66%
Female
2.14
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