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
9,767
Total Claims
$625K
Drug Cost
821
Beneficiaries
$762
Cost/Patient
Risk Score Breakdown 21/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+127%
Opioid rate vs peers
5.1% vs 2.2% avg
-46%
Cost per patient vs peers
$762 vs $1,411 avg
-21%
Brand preference vs peers
8.4% 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
5.1%
Opioid Rate
496
Opioid Claims
$9,735
Opioid Cost
2.6%
Long-Acting Rate
Brand vs Generic
Brand: 818 claims · $499K
Generic: 8,878 claims · $124K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 78 | $98K |
| Semaglutide | 34 | $69K |
| Rivaroxaban | 24 | $41K |
| Fluticasone/Umeclidin/Vilanter | 16 | $25K |
| Denosumab | 11 | $19K |
| Budesonide/Formoterol Fumarate | 25 | $15K |
| Insulin Glargine,hum.Rec.Anlog | 23 | $15K |
| Fluticasone/Vilanterol | 12 | $7,626 |
| Levothyroxine Sodium | 514 | $6,868 |
| Linaclotide | 12 | $6,691 |
| Hydrocodone/Acetaminophen | 229 | $5,278 |
| Losartan Potassium | 354 | $4,058 |
| Albuterol Sulfate | 106 | $3,989 |
| Ipratropium Bromide | 67 | $3,096 |
| Levothyroxine Sodium | 20 | $2,978 |
Prescribing Profile
Patient Profile
77
Avg Age
70%
Female
1.36
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