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
19,528
Total Claims
$1.2M
Drug Cost
803
Beneficiaries
$1,435
Cost/Patient
Risk Score Breakdown 24/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+126%
Opioid rate vs peers
5.1% vs 2.2% avg
+2%
Cost per patient vs peers
$1,435 vs $1,411 avg
-21%
Brand preference vs peers
8.4% 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
5.1%
Opioid Rate
990
Opioid Claims
$36K
Opioid Cost
4.7%
Long-Acting Rate
Brand vs Generic
Brand: 1,629 claims · $860K
Generic: 17,775 claims · $287K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 193 | $175K |
| Semaglutide | 80 | $96K |
| Rivaroxaban | 95 | $91K |
| Sitagliptin Phosphate | 66 | $74K |
| Budesonide/Formoterol Fumarate | 63 | $30K |
| Empagliflozin | 29 | $29K |
| Insulin Aspart | 34 | $21K |
| Linaclotide | 32 | $18K |
| Linagliptin | 13 | $15K |
| Tirzepatide | 12 | $15K |
| Ticagrelor | 11 | $13K |
| Oxycodone Hcl | 12 | $12K |
| Tiotropium Bromide | 13 | $12K |
| Hydrocodone/Acetaminophen | 422 | $11K |
| Insulin Detemir | 17 | $11K |
Prescribing Profile
Patient Profile
75
Avg Age
60%
Female
1.36
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