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
11,045
Total Claims
$718K
Drug Cost
266
Beneficiaries
$2,699
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
-28%
Opioid rate vs peers
1.9% vs 2.6% avg
+153%
Cost per patient vs peers
$2,699 vs $1,068 avg
+81%
Brand preference vs peers
16.3% 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
1.9%
Opioid Rate
205
Opioid Claims
$8,945
Opioid Cost
26.8%
Long-Acting Rate
Brand vs Generic
Brand: 1,791 claims · $523K
Generic: 9,216 claims · $193K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 408 | $116K |
| Interferon Beta-1a | 13 | $109K |
| Mirabegron | 102 | $23K |
| Potassium Chloride | 335 | $19K |
| Dulaglutide | 20 | $16K |
| Fluticasone/Umeclidin/Vilanter | 31 | $14K |
| Rivaroxaban | 49 | $13K |
| Budesonide/Formoterol Fumarate | 31 | $13K |
| Insulin Detemir | 38 | $12K |
| Rotigotine | 31 | $11K |
| Sevelamer Hcl | 12 | $9,040 |
| Insulin Aspart | 28 | $8,632 |
| Collagenase Clostridium Hist. | 19 | $8,162 |
| Ipratropium/Albuterol Sulfate | 16 | $8,097 |
| Omeprazole Magnesium | 12 | $7,554 |
Prescribing Profile
Patient Profile
81
Avg Age
64%
Female
2.80
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