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
4,342
Total Claims
$584K
Drug Cost
92
Beneficiaries
$6,348
Cost/Patient
Risk Score Breakdown 25/100
Score components are additive. Read full methodology
Peer Comparison vs. 476 Registered Nurse providers
-67%
Opioid rate vs peers
0.9% vs 2.8% avg
+467%
Cost per patient vs peers
$6,348 vs $1,120 avg
+138%
Brand preference vs peers
18.9% vs 8.0% 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
0.9%
Opioid Rate
40
Opioid Claims
$751
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 811 claims · $432K
Generic: 3,484 claims · $148K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Dulaglutide | 103 | $101K |
| Apixaban | 85 | $45K |
| Rifaximin | 13 | $40K |
| Fluticasone/Umeclidin/Vilanter | 52 | $35K |
| Mirabegron | 34 | $14K |
| Insulin Glargine,hum.Rec.Anlog | 73 | $14K |
| Semaglutide | 14 | $13K |
| Atorvastatin Calcium | 285 | $13K |
| Empagliflozin | 22 | $13K |
| Budesonide/Formoterol Fumarate | 39 | $12K |
| Ipratropium/Albuterol Sulfate | 24 | $12K |
| Tiotropium Bromide | 22 | $12K |
| Rivaroxaban | 21 | $11K |
| Dapagliflozin Propanediol | 19 | $11K |
| Insulin Degludec | 24 | $7,995 |
Prescribing Profile
Patient Profile
75
Avg Age
70%
Female
3.03
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.Methodology · About