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
19,085
Total Claims
$1.7M
Drug Cost
538
Beneficiaries
$3,222
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,389 General Practice providers
-79%
Opioid rate vs peers
0.5% vs 2.5% avg
+186%
Cost per patient vs peers
$3,222 vs $1,128 avg
+189%
Brand preference vs peers
24.3% vs 8.4% 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
0.5%
Opioid Rate
97
Opioid Claims
$1,749
Opioid Cost
13.4%
Long-Acting Rate
Brand vs Generic
Brand: 4,600 claims · $1.2M
Generic: 14,331 claims · $501K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 730 | $217K |
| Dulaglutide | 118 | $99K |
| Sitagliptin Phosphate | 309 | $82K |
| Dextromethorphan Hbr/Quinidine | 119 | $71K |
| Sacubitril/Valsartan | 141 | $43K |
| Rivaroxaban | 141 | $39K |
| Empagliflozin | 114 | $36K |
| Rifaximin | 30 | $36K |
| Insulin Glargine,hum.Rec.Anlog | 207 | $34K |
| Piperacillin Sodium/Tazobactam | 130 | $28K |
| Insulin Aspart | 130 | $27K |
| Filgrastim-Sndz | 26 | $24K |
| Lacosamide | 62 | $22K |
| Fluticasone/Umeclidin/Vilanter | 32 | $20K |
| Insulin Glargine,hum.Rec.Anlog | 102 | $19K |
Prescribing Profile
Patient Profile
78
Avg Age
61%
Female
2.88
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