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
12,250
Total Claims
$889K
Drug Cost
619
Beneficiaries
$1,436
Cost/Patient
Risk Score Breakdown 18/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
-50%
Opioid rate vs peers
1.1% vs 2.2% avg
+2%
Cost per patient vs peers
$1,436 vs $1,411 avg
+5%
Brand preference vs peers
11.2% 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
1.1%
Opioid Rate
138
Opioid Claims
$1,431
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 1,357 claims · $689K
Generic: 10,764 claims · $194K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Empagliflozin | 81 | $96K |
| Sitagliptin Phosphate | 52 | $58K |
| Insulin Glargine,hum.Rec.Anlog | 55 | $57K |
| Apixaban | 77 | $55K |
| Rivaroxaban | 42 | $49K |
| Budesonide/Formoterol Fumarate | 56 | $35K |
| Fluticasone Propion/Salmeterol | 67 | $30K |
| Insulin Lispro | 20 | $21K |
| Insulin Nph Hum/Reg Insulin Hm | 24 | $21K |
| Semaglutide | 16 | $18K |
| Fluticasone/Umeclidin/Vilanter | 21 | $17K |
| Tiotropium Bromide | 18 | $15K |
| Fluticasone Propion/Salmeterol | 29 | $11K |
| Insulin Aspart | 14 | $11K |
| Rosuvastatin Calcium | 431 | $9,751 |
Prescribing Profile
Patient Profile
74
Avg Age
81%
Female
1.27
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