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
16,736
Total Claims
$1.3M
Drug Cost
949
Beneficiaries
$1,334
Cost/Patient
Risk Score Breakdown 15/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+78%
Opioid rate vs peers
4.6% vs 2.6% avg
+25%
Cost per patient vs peers
$1,334 vs $1,068 avg
+39%
Brand preference vs peers
12.5% 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.
🔎 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
4.6%
Opioid Rate
770
Opioid Claims
$15K
Opioid Cost
6.2%
Long-Acting Rate
Brand vs Generic
Brand: 2,063 claims · $947K
Generic: 14,429 claims · $302K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 150 | $105K |
| Semaglutide | 65 | $81K |
| Insulin Glargine,hum.Rec.Anlog | 74 | $58K |
| Insulin Lispro | 20 | $58K |
| Rivaroxaban | 38 | $56K |
| Insulin Aspart | 55 | $55K |
| Exenatide Microspheres | 21 | $40K |
| Insulin Glargine,hum.Rec.Anlog | 21 | $39K |
| Insulin Glargine,hum.Rec.Anlog | 80 | $29K |
| Empagliflozin | 23 | $25K |
| Dulaglutide | 24 | $22K |
| Linagliptin | 20 | $21K |
| Insulin Degludec | 17 | $20K |
| Tirzepatide | 16 | $20K |
| Insulin Detemir | 13 | $17K |
Prescribing Profile
Patient Profile
76
Avg Age
69%
Female
1.35
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