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
4,813
Total Claims
$439K
Drug Cost
450
Beneficiaries
$975
Cost/Patient
Risk Score Breakdown 8/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+11%
Opioid rate vs peers
2.5% vs 2.2% avg
-31%
Cost per patient vs peers
$975 vs $1,411 avg
+42%
Brand preference vs peers
15.1% 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
2.5%
Opioid Rate
120
Opioid Claims
$1,854
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 717 claims · $363K
Generic: 4,045 claims · $74K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 63 | $67K |
| Semaglutide | 33 | $62K |
| Budesonide/Formoterol Fumarate | 37 | $22K |
| Dulaglutide | 17 | $19K |
| Fluticasone/Umeclidin/Vilanter | 24 | $18K |
| Fluticasone/Vilanterol | 24 | $16K |
| Mirabegron | 19 | $15K |
| Insulin Glargine,hum.Rec.Anlog | 24 | $13K |
| Insulin Aspart | 14 | $8,454 |
| Insulin Glargine,hum.Rec.Anlog | 23 | $8,189 |
| Albuterol Sulfate | 152 | $5,677 |
| Mometasone/Formoterol | 12 | $4,470 |
| Atorvastatin Calcium | 366 | $4,093 |
| Memantine Hcl | 12 | $2,570 |
| Levothyroxine Sodium | 133 | $2,320 |
Prescribing Profile
Patient Profile
73
Avg Age
65%
Female
1.54
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