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
9,943
Total Claims
$798K
Drug Cost
718
Beneficiaries
$1,112
Cost/Patient
Risk Score Breakdown 15/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
-11%
Opioid rate vs peers
2.3% vs 2.6% avg
+4%
Cost per patient vs peers
$1,112 vs $1,068 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
2.3%
Opioid Rate
228
Opioid Claims
$2,332
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 889 claims · $618K
Generic: 8,999 claims · $176K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Semaglutide | 77 | $143K |
| Sitagliptin Phosphate | 59 | $64K |
| Dulaglutide | 24 | $47K |
| Apixaban | 50 | $45K |
| Liraglutide | 19 | $32K |
| Semaglutide | 14 | $21K |
| Rivaroxaban | 16 | $21K |
| Dapagliflozin Propanediol | 13 | $19K |
| Sitagliptin Phos/Metformin Hcl | 12 | $16K |
| Linaclotide | 14 | $14K |
| Budesonide/Formoterol Fumarate | 22 | $13K |
| Fluticasone/Vilanterol | 11 | $11K |
| Tiotropium Bromide | 14 | $7,896 |
| Sitagliptin Phos/Metformin Hcl | 13 | $7,046 |
| Insulin Glargine,hum.Rec.Anlog | 14 | $6,924 |
Prescribing Profile
Patient Profile
71
Avg Age
71%
Female
0.89
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.Methodology · About