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
6,894
Total Claims
$704K
Drug Cost
772
Beneficiaries
$911
Cost/Patient
Risk Score Breakdown 17/100
Score components are additive. Read full methodology
Peer Comparison vs. 2,621 Pain Management providers
+68%
Opioid rate vs peers
69.4% vs 41.3% avg
+129%
Cost per patient vs peers
$911 vs $399 avg
+128%
Brand preference vs peers
8.6% vs 3.8% avg
Opioid Prescribing
69.4%
Opioid Rate
4,781
Opioid Claims
$433K
Opioid Cost
19.5%
Long-Acting Rate
This provider's opioid prescribing rate of 69.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 591 claims · $459K
Generic: 6,303 claims · $245K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Methylnaltrexone Bromide | 72 | $177K |
| Buprenorphine | 337 | $110K |
| Buprenorphine Hcl | 129 | $103K |
| Hydrocodone/Acetaminophen | 1,708 | $40K |
| Oxycodone Hcl | 71 | $39K |
| Oxycodone Hcl/Acetaminophen | 1,238 | $37K |
| Oxycodone Hcl/Acetaminophen | 12 | $28K |
| Lidocaine | 31 | $25K |
| Oxycodone Myristate | 49 | $20K |
| Naloxegol Oxalate | 32 | $17K |
| Tapentadol Hcl | 13 | $14K |
| Pregabalin | 393 | $12K |
| Buprenorphine | 14 | $8,461 |
| Oxycodone Hcl | 383 | $7,748 |
| Tramadol Hcl | 103 | $7,371 |
Prescribing Profile
35
Unique Drugs
17.0
Anomaly Score
Patient Profile
67
Avg Age
66%
Female
1.74
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