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
9,685
Total Claims
$853K
Drug Cost
679
Beneficiaries
$1,257
Cost/Patient
Risk Score Breakdown 21/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+16%
Opioid rate vs peers
2.6% vs 2.2% avg
-11%
Cost per patient vs peers
$1,257 vs $1,411 avg
+16%
Brand preference vs peers
12.4% 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
2.6%
Opioid Rate
251
Opioid Claims
$6,629
Opioid Cost
5.2%
Long-Acting Rate
Brand vs Generic
Brand: 1,189 claims · $640K
Generic: 8,422 claims · $210K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Dulaglutide | 48 | $77K |
| Apixaban | 196 | $69K |
| Pimavanserin Tartrate | 20 | $57K |
| Empagliflozin | 69 | $44K |
| Rivaroxaban | 55 | $33K |
| Insulin Glargine,hum.Rec.Anlog | 37 | $24K |
| Insulin Aspart | 14 | $22K |
| Exenatide Microspheres | 13 | $21K |
| Insulin Aspart | 61 | $20K |
| Semaglutide | 12 | $20K |
| Linaclotide | 33 | $19K |
| Sitagliptin Phosphate | 25 | $16K |
| Insulin Detemir | 40 | $15K |
| Cinacalcet Hcl | 12 | $13K |
| Insulin Detemir | 15 | $9,039 |
Prescribing Profile
Patient Profile
77
Avg Age
58%
Female
1.58
Avg Risk Score
Explore More
Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About