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
5,992
Total Claims
$200K
Drug Cost
805
Beneficiaries
$248
Cost/Patient
Risk Score Breakdown 21/100
Score components are additive. Read full methodology
Peer Comparison vs. 2,621 Pain Management providers
+35%
Opioid rate vs peers
55.8% vs 41.3% avg
-38%
Cost per patient vs peers
$248 vs $399 avg
-48%
Brand preference vs peers
2.0% 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
55.8%
Opioid Rate
3,341
Opioid Claims
$121K
Opioid Cost
17.4%
Long-Acting Rate
This provider's opioid prescribing rate of 55.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 117 claims · $61K
Generic: 5,875 claims · $139K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Hydrocodone/Acetaminophen | 1,662 | $37K |
| Oxycodone Myristate | 28 | $20K |
| Oxycodone Hcl/Acetaminophen | 477 | $14K |
| Gabapentin | 716 | $12K |
| Fentanyl | 108 | $11K |
| Diclofenac Sodium | 59 | $9,637 |
| Pregabalin | 228 | $7,499 |
| Buprenorphine | 31 | $5,778 |
| Morphine Sulfate | 277 | $5,502 |
| Oxycodone Hcl | 13 | $5,429 |
| Naloxegol Oxalate | 13 | $5,106 |
| Baclofen | 193 | $4,166 |
| Tizanidine Hcl | 239 | $4,072 |
| Oxycodone Hcl | 179 | $3,563 |
| Tramadol Hcl | 15 | $3,416 |
Prescribing Profile
43
Unique Drugs
21.0
Anomaly Score
Patient Profile
70
Avg Age
69%
Female
1.60
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