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
10,380
Total Claims
$865K
Drug Cost
559
Beneficiaries
$1,547
Cost/Patient
Risk Score Breakdown 15/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
-2%
Opioid rate vs peers
2.5% vs 2.6% avg
+45%
Cost per patient vs peers
$1,547 vs $1,068 avg
+19%
Brand preference vs peers
10.8% 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
2.5%
Opioid Rate
261
Opioid Claims
$4,610
Opioid Cost
8.4%
Long-Acting Rate
Brand vs Generic
Brand: 1,110 claims · $658K
Generic: 9,214 claims · $203K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Semaglutide | 51 | $70K |
| Apixaban | 63 | $62K |
| Tirzepatide | 43 | $59K |
| Dapagliflozin Propanediol | 53 | $46K |
| Dulaglutide | 23 | $29K |
| Insulin Degludec | 21 | $27K |
| Sitagliptin Phos/Metformin Hcl | 27 | $21K |
| Empagliflozin | 16 | $20K |
| Mirabegron | 31 | $18K |
| Insulin Aspart | 17 | $18K |
| Sitagliptin Phos/Metformin Hcl | 25 | $16K |
| Insulin Glargine,hum.Rec.Anlog | 26 | $15K |
| Fluticasone/Umeclidin/Vilanter | 19 | $15K |
| Sitagliptin Phosphate | 15 | $13K |
| Vortioxetine Hydrobromide | 17 | $13K |
Prescribing Profile
Patient Profile
73
Avg Age
79%
Female
0.85
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