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
8,864
Total Claims
$682K
Drug Cost
280
Beneficiaries
$2,437
Cost/Patient
Risk Score Breakdown 26/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
-16%
Opioid rate vs peers
2.2% vs 2.6% avg
+128%
Cost per patient vs peers
$2,437 vs $1,068 avg
+65%
Brand preference vs peers
14.8% 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
2.2%
Opioid Rate
193
Opioid Claims
$2,159
Opioid Cost
6.2%
Long-Acting Rate
Brand vs Generic
Brand: 1,308 claims · $560K
Generic: 7,508 claims · $118K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Valbenazine Tosylate | 25 | $98K |
| Apixaban | 157 | $94K |
| Semaglutide | 40 | $44K |
| Dulaglutide | 42 | $41K |
| Semaglutide | 24 | $28K |
| Mirabegron | 115 | $24K |
| Sitagliptin Phosphate | 29 | $21K |
| Dextromethorphan Hbr/Quinidine | 27 | $20K |
| Insulin Detemir | 30 | $19K |
| Cariprazine Hcl | 27 | $18K |
| Fluticasone Propion/Salmeterol | 25 | $11K |
| Insulin Aspart | 20 | $11K |
| Insulin Degludec | 23 | $11K |
| Linaclotide | 19 | $10K |
| Tiotropium Bromide | 17 | $9,239 |
Prescribing Profile
Patient Profile
75
Avg Age
79%
Female
1.22
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