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
11,476
Total Claims
$1.2M
Drug Cost
953
Beneficiaries
$1,270
Cost/Patient
Risk Score Breakdown 26/100
Score components are additive. Read full methodology
Peer Comparison vs. 2,621 Pain Management providers
+79%
Opioid rate vs peers
74.0% vs 41.3% avg
+218%
Cost per patient vs peers
$1,270 vs $399 avg
+170%
Brand preference vs peers
10.1% 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
74.0%
Opioid Rate
8,496
Opioid Claims
$926K
Opioid Cost
15.8%
Long-Acting Rate
This provider's opioid prescribing rate of 74.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 1,162 claims · $744K
Generic: 10,314 claims · $466K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Buprenorphine Hcl | 431 | $409K |
| Buprenorphine | 475 | $184K |
| Hydrocodone/Acetaminophen | 3,636 | $120K |
| Oxycodone Hcl/Acetaminophen | 2,373 | $102K |
| Lidocaine | 167 | $75K |
| Linaclotide | 69 | $40K |
| Oxycodone Myristate | 65 | $36K |
| Naloxegol Oxalate | 64 | $30K |
| Buprenorphine | 27 | $22K |
| Pregabalin | 506 | $18K |
| Hydrocodone Bitartrate | 49 | $18K |
| Buprenorphine Hcl/Naloxone Hcl | 60 | $17K |
| Naloxone Hcl | 171 | $15K |
| Oxycodone Hcl | 677 | $15K |
| Gabapentin | 528 | $9,758 |
Prescribing Profile
45
Unique Drugs
26.0
Anomaly Score
Patient Profile
68
Avg Age
65%
Female
2.04
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