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
9,774
Total Claims
$739K
Drug Cost
622
Beneficiaries
$1,189
Cost/Patient
Risk Score Breakdown 21/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+30%
Opioid rate vs peers
2.9% vs 2.2% avg
-16%
Cost per patient vs peers
$1,189 vs $1,411 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
2.9%
Opioid Rate
285
Opioid Claims
$4,865
Opioid Cost
10.2%
Long-Acting Rate
Brand vs Generic
Brand: 1,033 claims · $513K
Generic: 8,679 claims · $222K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 135 | $141K |
| Semaglutide | 28 | $47K |
| Empagliflozin | 23 | $31K |
| Fluticasone/Vilanterol | 47 | $30K |
| Tiotropium Bromide | 18 | $18K |
| Tiotropium Bromide | 12 | $17K |
| Fluticasone Propion/Salmeterol | 24 | $15K |
| Fluticasone/Umeclidin/Vilanter | 20 | $13K |
| Metoprolol Succinate | 517 | $12K |
| Insulin Glargine,hum.Rec.Anlog | 38 | $12K |
| Insulin Glargine,hum.Rec.Anlog | 26 | $12K |
| Insulin Detemir | 14 | $11K |
| Mirabegron | 16 | $11K |
| Losartan Potassium | 586 | $9,881 |
| Insulin Glargine,hum.Rec.Anlog | 15 | $8,992 |
Prescribing Profile
Patient Profile
74
Avg Age
67%
Female
1.05
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