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
13,087
Total Claims
$755K
Drug Cost
358
Beneficiaries
$2,109
Cost/Patient
Risk Score Breakdown 26/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
-23%
Opioid rate vs peers
2.0% vs 2.6% avg
+98%
Cost per patient vs peers
$2,109 vs $1,068 avg
+43%
Brand preference vs peers
12.8% vs 9.0% 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
2.0%
Opioid Rate
261
Opioid Claims
$5,878
Opioid Cost
10.0%
Long-Acting Rate
Brand vs Generic
Brand: 1,671 claims · $578K
Generic: 11,360 claims · $173K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Semaglutide | 103 | $113K |
| Apixaban | 206 | $94K |
| Empagliflozin | 102 | $76K |
| Tirzepatide | 35 | $39K |
| Rivaroxaban | 61 | $31K |
| Sitagliptin Phosphate | 42 | $21K |
| Insulin Glargine,hum.Rec.Anlog | 41 | $19K |
| Mirabegron | 23 | $17K |
| Insulin Glargine,hum.Rec.Anlog | 30 | $13K |
| Insulin Aspart | 20 | $13K |
| Tiotropium Bromide | 18 | $9,813 |
| Fluticasone Propion/Salmeterol | 18 | $9,098 |
| Fluticasone/Umeclidin/Vilanter | 14 | $8,933 |
| Insulin Glargine,hum.Rec.Anlog | 22 | $7,715 |
| Metoprolol Succinate | 565 | $7,104 |
Prescribing Profile
Patient Profile
76
Avg Age
66%
Female
1.21
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