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
5,937
Total Claims
$849K
Drug Cost
438
Beneficiaries
$1,939
Cost/Patient
Risk Score Breakdown 15/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+109%
Opioid rate vs peers
4.7% vs 2.2% avg
+37%
Cost per patient vs peers
$1,939 vs $1,411 avg
+47%
Brand preference vs peers
15.6% vs 10.6% 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
4.7%
Opioid Rate
278
Opioid Claims
$5,194
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 922 claims · $729K
Generic: 4,980 claims · $118K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Empagliflozin | 199 | $205K |
| Dulaglutide | 76 | $92K |
| Adalimumab | 13 | $88K |
| Sitagliptin Phosphate | 61 | $62K |
| Dapagliflozin Propanediol | 39 | $34K |
| Apixaban | 29 | $21K |
| Rivaroxaban | 21 | $17K |
| Insulin Glargine,hum.Rec.Anlog | 41 | $16K |
| Insulin Glargine,hum.Rec.Anlog | 19 | $14K |
| Budesonide/Formoterol Fumarate | 25 | $13K |
| Insulin Lispro | 22 | $13K |
| Liraglutide | 13 | $12K |
| Umeclidinium Bromide | 28 | $11K |
| Insulin Detemir | 17 | $9,438 |
| Atorvastatin Calcium | 410 | $8,834 |
Prescribing Profile
Patient Profile
73
Avg Age
54%
Female
1.39
Avg Risk Score
Explore More
Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About