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 →26
🟡 Moderate
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
9,477
Total Claims
$961K
Drug Cost
806
Beneficiaries
$1,193
Cost/Patient
Risk Score Breakdown 26/100
Score components are additive. Read full methodology
Peer Comparison vs. 1,498 Interventional Pain Management providers
+73%
Opioid rate vs peers
79.3% vs 45.9% avg
+147%
Cost per patient vs peers
$1,193 vs $483 avg
+133%
Brand preference vs peers
9.6% vs 4.1% 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
79.3%
Opioid Rate
7,515
Opioid Claims
$652K
Opioid Cost
24.8%
Long-Acting Rate
This provider's opioid prescribing rate of 79.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 911 claims · $637K
Generic: 8,566 claims · $324K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Myristate | 230 | $145K |
| Abaloparatide | 26 | $70K |
| Tapentadol Hcl | 53 | $67K |
| Oxycodone Hcl/Acetaminophen | 1,511 | $65K |
| Methylnaltrexone Bromide | 25 | $63K |
| Tapentadol Hcl | 44 | $53K |
| Hydrocodone/Acetaminophen | 1,894 | $48K |
| Oxycodone Hcl/Acetaminophen | 12 | $44K |
| Rimegepant Sulfate | 24 | $38K |
| Hydrocodone Bitartrate | 42 | $37K |
| Buprenorphine Hcl | 51 | $34K |
| Tramadol Hcl | 315 | $28K |
| Oxycodone Hcl | 1,145 | $27K |
| Naloxegol Oxalate | 53 | $24K |
| Morphine Sulfate | 827 | $21K |
Prescribing Profile
40
Unique Drugs
26.0
Anomaly Score
Patient Profile
70
Avg Age
61%
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