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
12,573
Total Claims
$1.0M
Drug Cost
844
Beneficiaries
$1,212
Cost/Patient
Risk Score Breakdown 9/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
-87%
Opioid rate vs peers
0.3% vs 2.2% avg
-14%
Cost per patient vs peers
$1,212 vs $1,411 avg
+1%
Brand preference vs peers
10.7% 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
0.3%
Opioid Rate
36
Opioid Claims
$171
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 1,343 claims · $807K
Generic: 11,159 claims · $211K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 143 | $139K |
| Empagliflozin | 102 | $120K |
| Sitagliptin Phosphate | 55 | $71K |
| Linagliptin | 31 | $44K |
| Dulaglutide | 31 | $42K |
| Semaglutide | 35 | $40K |
| Fluticasone/Umeclidin/Vilanter | 27 | $28K |
| Insulin Glargine,hum.Rec.Anlog | 50 | $24K |
| Rivaroxaban | 24 | $23K |
| Mirabegron | 21 | $19K |
| Insulin Lispro | 13 | $19K |
| Fluticasone/Vilanterol | 34 | $17K |
| Linaclotide | 25 | $17K |
| Tirzepatide | 13 | $15K |
| Budesonide/Formoterol Fumarate | 26 | $13K |
Prescribing Profile
Patient Profile
74
Avg Age
71%
Female
1.23
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