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
11,250
Total Claims
$766K
Drug Cost
936
Beneficiaries
$819
Cost/Patient
Risk Score Breakdown 9/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
-67%
Opioid rate vs peers
0.7% vs 2.2% avg
-42%
Cost per patient vs peers
$819 vs $1,411 avg
-4%
Brand preference vs peers
10.2% 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
0.7%
Opioid Rate
83
Opioid Claims
$669
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 1,138 claims · $576K
Generic: 10,015 claims · $186K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 72 | $56K |
| Semaglutide | 52 | $52K |
| Linaclotide | 29 | $39K |
| Dapagliflozin Propanediol | 36 | $33K |
| Budesonide/Formoterol Fumarate | 39 | $31K |
| Fluticasone/Umeclidin/Vilanter | 27 | $30K |
| Sitagliptin Phosphate | 31 | $26K |
| Semaglutide | 15 | $25K |
| Empagliflozin | 22 | $25K |
| Dulaglutide | 22 | $22K |
| Tirzepatide | 18 | $20K |
| Umeclidinium Brm/Vilanterol Tr | 31 | $16K |
| Insulin Glargine,hum.Rec.Anlog | 27 | $16K |
| Atorvastatin Calcium | 967 | $16K |
| Sitagliptin Phos/Metformin Hcl | 16 | $15K |
Prescribing Profile
Patient Profile
71
Avg Age
62%
Female
1.66
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