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
86,598
Total Claims
$4.4M
Drug Cost
1,497
Beneficiaries
$2,928
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
-88%
Opioid rate vs peers
0.3% vs 2.6% avg
+174%
Cost per patient vs peers
$2,928 vs $1,068 avg
+58%
Brand preference vs peers
14.2% 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
0.3%
Opioid Rate
258
Opioid Claims
$12K
Opioid Cost
27.5%
Long-Acting Rate
Brand vs Generic
Brand: 12,242 claims · $3.0M
Generic: 74,103 claims · $1.3M
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 3,069 | $661K |
| Rivaroxaban | 760 | $182K |
| Dulaglutide | 227 | $170K |
| Valbenazine Tosylate | 35 | $164K |
| Rifaximin | 143 | $156K |
| Risperidone Microspheres | 87 | $107K |
| Insulin Glargine,hum.Rec.Anlog | 253 | $99K |
| Sitagliptin Phosphate | 386 | $78K |
| Pimavanserin Tartrate | 40 | $71K |
| Insulin Detemir | 163 | $68K |
| Ipratropium/Albuterol Sulfate | 132 | $67K |
| Divalproex Sodium | 1,509 | $66K |
| Empagliflozin | 246 | $64K |
| Glatiramer Acetate | 13 | $61K |
| Insulin Aspart | 188 | $61K |
Prescribing Profile
Patient Profile
79
Avg Age
62%
Female
2.32
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