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
18,490
Total Claims
$2.4M
Drug Cost
1,463
Beneficiaries
$1,640
Cost/Patient
Risk Score Breakdown 21/100
Score components are additive. Read full methodology
Peer Comparison vs. 8,961 Nephrology providers
+28%
Cost per patient vs peers
$1,640 vs $1,283 avg
+58%
Brand preference vs peers
14.1% 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
0.2%
Opioid Rate
28
Opioid Claims
$77
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 2,569 claims · $2.0M
Generic: 15,628 claims · $427K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Empagliflozin | 203 | $223K |
| Apixaban | 274 | $199K |
| Sitagliptin Phosphate | 154 | $189K |
| Insulin Glargine,hum.Rec.Anlog | 135 | $96K |
| Tolvaptan | 11 | $95K |
| Semaglutide | 78 | $91K |
| Insulin Glargine,hum.Rec.Anlog | 65 | $46K |
| Dulaglutide | 33 | $46K |
| Dapagliflozin Propanediol | 42 | $46K |
| Insulin Lispro | 48 | $44K |
| Sucroferric Oxyhydroxide | 16 | $43K |
| Insulin Aspart | 38 | $40K |
| Linaclotide | 52 | $39K |
| Fluticasone/Vilanterol | 65 | $39K |
| Rivaroxaban | 30 | $34K |
Prescribing Profile
Patient Profile
73
Avg Age
53%
Female
1.74
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