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
16,541
Total Claims
$1.2M
Drug Cost
461
Beneficiaries
$2,701
Cost/Patient
Risk Score Breakdown 26/100
Score components are additive. Read full methodology
Peer Comparison vs. 1,825 Geriatric Medicine providers
+38%
Opioid rate vs peers
3.5% vs 2.6% avg
+118%
Cost per patient vs peers
$2,701 vs $1,237 avg
+47%
Brand preference vs peers
13.4% vs 9.2% 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
3.5%
Opioid Rate
584
Opioid Claims
$24K
Opioid Cost
5.5%
Long-Acting Rate
Brand vs Generic
Brand: 2,193 claims · $916K
Generic: 14,117 claims · $317K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 357 | $207K |
| Rivaroxaban | 118 | $69K |
| Emtricitabine/Tenofov Alafenam | 21 | $50K |
| Sitagliptin Phosphate | 56 | $44K |
| Mirabegron | 103 | $40K |
| Budesonide/Formoterol Fumarate | 71 | $28K |
| Insulin Glargine,hum.Rec.Anlog | 75 | $28K |
| Collagenase Clostridium Hist. | 51 | $25K |
| Fluticasone/Vilanterol | 52 | $22K |
| Sacubitril/Valsartan | 36 | $21K |
| Insulin Aspart | 40 | $21K |
| Fluticasone/Umeclidin/Vilanter | 27 | $18K |
| Fluticasone Propion/Salmeterol | 38 | $18K |
| Ipratropium/Albuterol Sulfate | 30 | $15K |
| Potassium Chloride | 337 | $15K |
Prescribing Profile
Patient Profile
80
Avg Age
67%
Female
2.51
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