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
12,676
Total Claims
$882K
Drug Cost
638
Beneficiaries
$1,382
Cost/Patient
Risk Score Breakdown 24/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
-36%
Opioid rate vs peers
1.4% vs 2.2% avg
-2%
Cost per patient vs peers
$1,382 vs $1,411 avg
+7%
Brand preference vs peers
11.4% 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
1.4%
Opioid Rate
182
Opioid Claims
$2,760
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 1,432 claims · $636K
Generic: 11,181 claims · $242K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 342 | $196K |
| Empagliflozin | 74 | $110K |
| Dulaglutide | 26 | $35K |
| Rivaroxaban | 39 | $30K |
| Insulin Glargine,hum.Rec.Anlog | 14 | $22K |
| Insulin Glargine,hum.Rec.Anlog | 24 | $20K |
| Tiotropium Bromide | 26 | $20K |
| Budesonide/Formoterol Fumarate | 28 | $17K |
| Dextromethorphan Hbr/Quinidine | 19 | $15K |
| Mirabegron | 26 | $13K |
| Fluticasone/Vilanterol | 23 | $13K |
| Semaglutide | 13 | $12K |
| Losartan Potassium | 720 | $12K |
| Atorvastatin Calcium | 896 | $11K |
| Fluticasone Propion/Salmeterol | 38 | $10K |
Prescribing Profile
Patient Profile
79
Avg Age
49%
Female
1.35
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