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
25,939
Total Claims
$1.5M
Drug Cost
746
Beneficiaries
$1,985
Cost/Patient
Risk Score Breakdown 26/100
Score components are additive. Read full methodology
Peer Comparison vs. 44,021 Emergency Medicine providers
-81%
Opioid rate vs peers
1.8% vs 9.4% avg
+836%
Brand preference vs peers
13.9% vs 1.5% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
⚠️ 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
1.8%
Opioid Rate
475
Opioid Claims
$9,309
Opioid Cost
5.3%
Long-Acting Rate
Brand vs Generic
Brand: 3,589 claims · $1.1M
Generic: 22,266 claims · $426K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 1,165 | $296K |
| Dulaglutide | 84 | $52K |
| Rifaximin | 31 | $49K |
| Mirabegron | 148 | $35K |
| Insulin Glargine,hum.Rec.Anlog | 136 | $29K |
| Insulin Detemir | 161 | $26K |
| Insulin Aspart | 125 | $24K |
| Fluticasone/Umeclidin/Vilanter | 46 | $23K |
| Linaclotide | 46 | $23K |
| Dextromethorphan Hbr/Quinidine | 27 | $20K |
| Rivaroxaban | 80 | $20K |
| Collagenase Clostridium Hist. | 24 | $16K |
| Fluticasone/Vilanterol | 47 | $16K |
| Linagliptin | 60 | $16K |
| Insulin Detemir | 38 | $16K |
Prescribing Profile
Patient Profile
79
Avg Age
67%
Female
2.44
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