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
9,112
Total Claims
$792K
Drug Cost
670
Beneficiaries
$1,181
Cost/Patient
Risk Score Breakdown 15/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+89%
Opioid rate vs peers
4.2% vs 2.2% avg
-16%
Cost per patient vs peers
$1,181 vs $1,411 avg
+9%
Brand preference vs peers
11.6% 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
4.2%
Opioid Rate
386
Opioid Claims
$7,461
Opioid Cost
4.7%
Long-Acting Rate
Brand vs Generic
Brand: 1,050 claims · $634K
Generic: 8,019 claims · $156K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 87 | $114K |
| Empagliflozin | 57 | $75K |
| Fluticasone/Umeclidin/Vilanter | 54 | $63K |
| Semaglutide | 19 | $33K |
| Dulaglutide | 15 | $31K |
| Budesonide/Formoterol Fumarate | 42 | $26K |
| Rivaroxaban | 31 | $26K |
| Linagliptin | 20 | $25K |
| Linaclotide | 26 | $18K |
| Tirzepatide | 13 | $14K |
| Insulin Glargine/Lixisenatide | 13 | $14K |
| Evolocumab | 21 | $13K |
| Umeclidinium Brm/Vilanterol Tr | 17 | $12K |
| Fluticasone/Vilanterol | 19 | $9,786 |
| Losartan Potassium | 412 | $8,440 |
Prescribing Profile
Patient Profile
75
Avg Age
68%
Female
1.73
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