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
10,275
Total Claims
$826K
Drug Cost
701
Beneficiaries
$1,179
Cost/Patient
Risk Score Breakdown 15/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
-34%
Opioid rate vs peers
1.7% vs 2.6% avg
+10%
Cost per patient vs peers
$1,179 vs $1,068 avg
+37%
Brand preference vs peers
12.4% 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
1.7%
Opioid Rate
175
Opioid Claims
$4,340
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 1,252 claims · $624K
Generic: 8,883 claims · $194K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 121 | $105K |
| Insulin Glargine,hum.Rec.Anlog | 105 | $72K |
| Rivaroxaban | 68 | $40K |
| Insulin Lispro | 45 | $37K |
| Empagliflozin | 23 | $30K |
| Insulin Aspart | 14 | $26K |
| Semaglutide | 26 | $26K |
| Budesonide/Formoterol Fumarate | 47 | $24K |
| Insulin Aspart | 28 | $23K |
| Tiotropium Bromide | 37 | $20K |
| Dapagliflozin Propanediol | 11 | $14K |
| Atorvastatin Calcium | 843 | $13K |
| Dulaglutide | 12 | $11K |
| Fluticasone Propionate | 25 | $10K |
| Insulin Glargine,hum.Rec.Anlog | 17 | $9,921 |
Prescribing Profile
Patient Profile
75
Avg Age
54%
Female
1.09
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