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
13,369
Total Claims
$1.3M
Drug Cost
778
Beneficiaries
$1,685
Cost/Patient
Risk Score Breakdown 15/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
-93%
Opioid rate vs peers
0.1% vs 2.2% avg
+19%
Cost per patient vs peers
$1,685 vs $1,411 avg
+14%
Brand preference vs peers
12.2% 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
0.1%
Opioid Rate
20
Opioid Claims
$148
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 1,609 claims · $1.0M
Generic: 11,617 claims · $296K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Sitagliptin Phosphate | 125 | $152K |
| Empagliflozin | 70 | $82K |
| Apixaban | 69 | $72K |
| Sitagliptin Phos/Metformin Hcl | 47 | $62K |
| Dapagliflozin Propanediol | 58 | $52K |
| Insulin Glargine,hum.Rec.Anlog | 79 | $42K |
| Semaglutide | 39 | $41K |
| Budesonide/Formoterol Fumarate | 67 | $40K |
| Linagliptin | 35 | $36K |
| Sacubitril/Valsartan | 33 | $26K |
| Dulaglutide | 12 | $25K |
| Sitagliptin Phos/Metformin Hcl | 17 | $22K |
| Fluticasone Propion/Salmeterol | 52 | $21K |
| Denosumab | 12 | $21K |
| Fluticasone Propion/Salmeterol | 26 | $20K |
Prescribing Profile
Patient Profile
73
Avg Age
64%
Female
1.41
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