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 →15
🟡 Moderate
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
9,603
Total Claims
$900K
Drug Cost
985
Beneficiaries
$913
Cost/Patient
Risk Score Breakdown 15/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
-44%
Opioid rate vs peers
1.3% vs 2.2% avg
-35%
Cost per patient vs peers
$913 vs $1,411 avg
-3%
Brand preference vs peers
10.3% 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.
Opioid Prescribing
1.3%
Opioid Rate
121
Opioid Claims
$1,481
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 984 claims · $734K
Generic: 8,542 claims · $161K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Empagliflozin | 110 | $155K |
| Dulaglutide | 74 | $94K |
| Apixaban | 72 | $81K |
| Sitagliptin Phosphate | 41 | $51K |
| Semaglutide | 43 | $47K |
| Rivaroxaban | 25 | $32K |
| Semaglutide | 26 | $28K |
| Insulin Glargine,hum.Rec.Anlog | 34 | $27K |
| Tirzepatide | 16 | $22K |
| Dapagliflozin Propanediol | 19 | $17K |
| Fluticasone Propionate | 20 | $14K |
| Tiotropium Bromide | 25 | $13K |
| Insulin Aspart | 11 | $12K |
| Fluticasone Propion/Salmeterol | 15 | $12K |
| Atorvastatin Calcium | 704 | $9,265 |
Prescribing Profile
Patient Profile
75
Avg Age
55%
Female
1.13
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