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
8,798
Total Claims
$771K
Drug Cost
601
Beneficiaries
$1,282
Cost/Patient
Risk Score Breakdown 15/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+97%
Opioid rate vs peers
5.1% vs 2.6% avg
+20%
Cost per patient vs peers
$1,282 vs $1,068 avg
+17%
Brand preference vs peers
10.5% 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
5.1%
Opioid Rate
447
Opioid Claims
$16K
Opioid Cost
2.5%
Long-Acting Rate
Brand vs Generic
Brand: 918 claims · $580K
Generic: 7,793 claims · $186K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 90 | $72K |
| Semaglutide | 36 | $40K |
| Empagliflozin | 30 | $39K |
| Dulaglutide | 27 | $38K |
| Insulin Degludec | 21 | $31K |
| Risperidone Microspheres | 12 | $29K |
| Fluticasone/Umeclidin/Vilanter | 28 | $28K |
| Insulin Glargine,hum.Rec.Anlog | 28 | $27K |
| Budesonide/Formoterol Fumarate | 35 | $23K |
| Rivaroxaban | 20 | $20K |
| Tirzepatide | 14 | $16K |
| Insulin Degludec | 18 | $15K |
| Insulin Aspart | 15 | $15K |
| Insulin Glargine,hum.Rec.Anlog | 12 | $15K |
| Insulin Glargine,hum.Rec.Anlog | 15 | $11K |
Prescribing Profile
Patient Profile
76
Avg Age
59%
Female
1.34
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