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
12,651
Total Claims
$1.1M
Drug Cost
1,011
Beneficiaries
$1,080
Cost/Patient
Risk Score Breakdown 9/100
Score components are additive. Read full methodology
Peer Comparison vs. 1,825 Geriatric Medicine providers
-54%
Opioid rate vs peers
1.2% vs 2.6% avg
-13%
Cost per patient vs peers
$1,080 vs $1,237 avg
+14%
Brand preference vs peers
10.5% vs 9.2% 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
1.2%
Opioid Rate
148
Opioid Claims
$2,074
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 1,313 claims · $854K
Generic: 11,194 claims · $231K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 180 | $180K |
| Semaglutide | 52 | $81K |
| Sitagliptin Phosphate | 66 | $67K |
| Dulaglutide | 31 | $65K |
| Elviteg/Cob/Emtri/Tenof Alafen | 13 | $53K |
| Rivaroxaban | 39 | $39K |
| Empagliflozin | 16 | $29K |
| Mirabegron | 30 | $28K |
| Insulin Glargine,hum.Rec.Anlog | 45 | $19K |
| Linaclotide | 24 | $17K |
| Insulin Nph Hum/Reg Insulin Hm | 34 | $17K |
| Fluticasone/Vilanterol | 30 | $16K |
| Tiotropium Bromide | 18 | $12K |
| Insulin Detemir | 12 | $11K |
| Insulin Detemir | 13 | $10K |
Prescribing Profile
Patient Profile
80
Avg Age
68%
Female
1.51
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