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
8,145
Total Claims
$630K
Drug Cost
583
Beneficiaries
$1,080
Cost/Patient
Risk Score Breakdown 15/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+137%
Opioid rate vs peers
6.1% vs 2.6% avg
+1%
Cost per patient vs peers
$1,080 vs $1,068 avg
+37%
Brand preference vs peers
12.3% vs 9.0% 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.
Opioid Prescribing
6.1%
Opioid Rate
497
Opioid Claims
$20K
Opioid Cost
5.0%
Long-Acting Rate
Brand vs Generic
Brand: 998 claims · $496K
Generic: 7,123 claims · $132K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 81 | $70K |
| Empagliflozin | 32 | $44K |
| Semaglutide | 32 | $42K |
| Fluticasone/Umeclidin/Vilanter | 36 | $34K |
| Rivaroxaban | 36 | $30K |
| Mirabegron | 44 | $24K |
| Budesonide/Formoterol Fumarate | 45 | $24K |
| Linaclotide | 25 | $18K |
| Sitagliptin Phosphate | 14 | $18K |
| Rsvpref3 Antigen/As01e/Pf | 51 | $16K |
| Tiotropium Bromide | 19 | $13K |
| Ipratropium/Albuterol Sulfate | 14 | $7,252 |
| Insulin Lispro Protamin/Lispro | 12 | $6,931 |
| Insulin Glargine,hum.Rec.Anlog | 12 | $6,748 |
| Fluticasone Propion/Salmeterol | 14 | $6,748 |
Prescribing Profile
Patient Profile
73
Avg Age
68%
Female
1.08
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