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
12,074
Total Claims
$1.0M
Drug Cost
678
Beneficiaries
$1,524
Cost/Patient
Risk Score Breakdown 9/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
-26%
Opioid rate vs peers
1.7% vs 2.2% avg
+8%
Cost per patient vs peers
$1,524 vs $1,411 avg
+2%
Brand preference vs peers
10.9% 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
1.7%
Opioid Rate
201
Opioid Claims
$1,419
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 1,294 claims · $835K
Generic: 10,629 claims · $192K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 203 | $155K |
| Empagliflozin | 140 | $134K |
| Semaglutide | 88 | $120K |
| Rivaroxaban | 75 | $72K |
| Sitagliptin Phosphate | 30 | $37K |
| Insulin Glargine,hum.Rec.Anlog | 48 | $35K |
| Fluticasone/Umeclidin/Vilanter | 56 | $34K |
| Umeclidinium Brm/Vilanterol Tr | 50 | $24K |
| Insulin Lispro | 31 | $19K |
| Insulin Glargine,hum.Rec.Anlog | 43 | $17K |
| Atorvastatin Calcium | 1,082 | $17K |
| Lipase/Protease/Amylase | 19 | $11K |
| Losartan Potassium | 548 | $10K |
| Dulaglutide | 11 | $9,743 |
| Fluticasone/Vilanterol | 14 | $9,696 |
Prescribing Profile
Patient Profile
77
Avg Age
53%
Female
1.08
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