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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.

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Clayton AdamsM.D.

Interventional Pain Management · Austin, TX 78750

NPI: 1699069104

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17

🟡 Moderate

Risk Flags

99th percentile opioid prescribing

Risk indicators are statistical patterns, not allegations. Learn more

5,626

Total Claims

$348K

Drug Cost

809

Beneficiaries

$430

Cost/Patient

Risk Score Breakdown 17/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate (national percentile)+15

Score components are additive. Read full methodology

Peer Comparison vs. 1,498 Interventional Pain Management providers

+59%

Opioid rate vs peers

72.9% vs 45.9% avg

-11%

Cost per patient vs peers

$430 vs $483 avg

+68%

Brand preference vs peers

6.9% vs 4.1% avg

Opioid Prescribing

72.9%

Opioid Rate

4,099

Opioid Claims

$291K

Opioid Cost

20.0%

Long-Acting Rate

This provider's opioid prescribing rate of 72.9% is above the 20% threshold that CMS considers elevated.

Brand vs Generic

93% generic

Brand: 391 claims · $185K

Generic: 5,235 claims · $162K

Patient Profile

68

Avg Age

65%

Female

1.67

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