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
9,786
Total Claims
$804K
Drug Cost
603
Beneficiaries
$1,333
Cost/Patient
Risk Score Breakdown 9/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+29%
Opioid rate vs peers
2.9% vs 2.2% avg
-6%
Cost per patient vs peers
$1,333 vs $1,411 avg
-9%
Brand preference vs peers
9.7% 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
2.9%
Opioid Rate
283
Opioid Claims
$4,317
Opioid Cost
8.5%
Long-Acting Rate
Brand vs Generic
Brand: 939 claims · $602K
Generic: 8,753 claims · $198K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 171 | $184K |
| Semaglutide | 24 | $37K |
| Fluticasone/Umeclidin/Vilanter | 41 | $31K |
| Dulaglutide | 27 | $27K |
| Rivaroxaban | 15 | $22K |
| Budesonide/Formoterol Fumarate | 40 | $22K |
| Sitagliptin Phosphate | 17 | $20K |
| Empagliflozin | 26 | $20K |
| Insulin Glargine,hum.Rec.Anlog | 27 | $15K |
| Fluticasone Propion/Salmeterol | 27 | $13K |
| Ticagrelor | 17 | $12K |
| Insulin Aspart | 16 | $9,599 |
| Insulin Glargine,hum.Rec.Anlog | 17 | $7,876 |
| Umeclidinium Brm/Vilanterol Tr | 11 | $7,647 |
| Fluticasone Propion/Salmeterol | 11 | $6,659 |
Prescribing Profile
Patient Profile
75
Avg Age
35%
Female
1.27
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