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
54,132
Total Claims
$4.0M
Drug Cost
1,351
Beneficiaries
$2,933
Cost/Patient
Risk Score Breakdown 26/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,389 General Practice providers
-50%
Opioid rate vs peers
1.2% vs 2.5% avg
+160%
Cost per patient vs peers
$2,933 vs $1,128 avg
+111%
Brand preference vs peers
17.7% 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
1.2%
Opioid Rate
669
Opioid Claims
$36K
Opioid Cost
9.3%
Long-Acting Rate
Brand vs Generic
Brand: 9,487 claims · $2.9M
Generic: 44,100 claims · $1.1M
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 1,998 | $555K |
| Valbenazine Tosylate | 83 | $319K |
| Semaglutide | 214 | $212K |
| Dimethyl Fumarate | 19 | $113K |
| Rivaroxaban | 362 | $91K |
| Empagliflozin | 292 | $88K |
| Insulin Aspart | 293 | $83K |
| Sitagliptin Phosphate | 269 | $76K |
| Dulaglutide | 98 | $74K |
| Insulin Detemir | 218 | $71K |
| Dextromethorphan Hbr/Quinidine | 91 | $67K |
| Insulin Detemir | 137 | $60K |
| Tirzepatide | 54 | $59K |
| Insulin Glargine,hum.Rec.Anlog | 208 | $58K |
| Vibegron | 231 | $54K |
Prescribing Profile
Patient Profile
77
Avg Age
67%
Female
2.55
Avg Risk Score
Explore More
Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About