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
8,573
Total Claims
$474K
Drug Cost
1,594
Beneficiaries
$297
Cost/Patient
Risk Score Breakdown 26/100
Score components are additive. Read full methodology
Peer Comparison vs. 2,621 Pain Management providers
+83%
Opioid rate vs peers
75.4% vs 41.3% avg
-25%
Cost per patient vs peers
$297 vs $399 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
75.4%
Opioid Rate
6,461
Opioid Claims
$315K
Opioid Cost
19.5%
Long-Acting Rate
This provider's opioid prescribing rate of 75.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 8,223 claims · $302K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Hcl/Acetaminophen | 1,641 | $70K |
| Hydrocodone/Acetaminophen | 1,885 | $62K |
| Buprenorphine | 119 | $34K |
| Oxycodone Myristate | 49 | $27K |
| Rimegepant Sulfate | 13 | $26K |
| Morphine Sulfate | 718 | $19K |
| Buprenorphine Hcl/Naloxone Hcl | 86 | $16K |
| Buprenorphine | 20 | $15K |
| Fentanyl | 173 | $15K |
| Methylnaltrexone Bromide | 14 | $14K |
| Oxycodone Hcl | 28 | $13K |
| Pregabalin | 271 | $12K |
| Oxycodone Hcl | 592 | $11K |
| Gabapentin | 367 | $8,476 |
| Lidocaine | 29 | $8,424 |
Prescribing Profile
39
Unique Drugs
26.0
Anomaly Score
Patient Profile
70
Avg Age
59%
Female
1.89
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