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
9,869
Total Claims
$570K
Drug Cost
462
Beneficiaries
$1,233
Cost/Patient
Risk Score Breakdown 18/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,389 General Practice providers
-25%
Opioid rate vs peers
1.9% vs 2.5% avg
+9%
Cost per patient vs peers
$1,233 vs $1,128 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
1.9%
Opioid Rate
184
Opioid Claims
$2,429
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 819 claims · $426K
Generic: 8,959 claims · $140K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Rivaroxaban | 42 | $52K |
| Apixaban | 33 | $43K |
| Sitagliptin Phos/Metformin Hcl | 35 | $39K |
| Sitagliptin Phosphate | 25 | $34K |
| Insulin Glargine,hum.Rec.Anlog | 50 | $32K |
| Dulaglutide | 24 | $26K |
| Insulin Nph Human Isophane | 35 | $15K |
| Insulin Glargine,hum.Rec.Anlog | 14 | $9,917 |
| Insulin Lispro | 18 | $9,804 |
| Levothyroxine Sodium | 371 | $9,238 |
| Levothyroxine Sodium | 70 | $7,167 |
| Losartan Potassium | 328 | $6,797 |
| Albuterol Sulfate | 110 | $6,469 |
| Budesonide/Formoterol Fumarate | 11 | $5,863 |
| Atorvastatin Calcium | 451 | $5,825 |
Prescribing Profile
Patient Profile
71
Avg Age
48%
Female
1.79
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