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
12,224
Total Claims
$1.1M
Drug Cost
1,078
Beneficiaries
$1,005
Cost/Patient
Risk Score Breakdown 15/100
Score components are additive. Read full methodology
Peer Comparison vs. 2,743 Pediatric Medicine providers
-52%
Cost per patient vs peers
$1,005 vs $2,098 avg
-37%
Brand preference vs peers
9.5% vs 15.1% 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
1.6%
Opioid Rate
194
Opioid Claims
$2,757
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 1,147 claims · $780K
Generic: 10,978 claims · $299K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Semaglutide | 98 | $120K |
| Apixaban | 86 | $80K |
| Rivaroxaban | 54 | $52K |
| Tirzepatide | 34 | $45K |
| Sitagliptin Phosphate | 28 | $41K |
| Liraglutide | 11 | $33K |
| Dapagliflozin Propanediol | 19 | $30K |
| Empagliflozin | 12 | $22K |
| Insulin Glargine,hum.Rec.Anlog | 29 | $18K |
| Insulin Lispro | 23 | $16K |
| Fluticasone Propion/Salmeterol | 24 | $14K |
| Losartan Potassium | 639 | $12K |
| Fluticasone Propion/Salmeterol | 20 | $12K |
| Atorvastatin Calcium | 648 | $12K |
| Levothyroxine Sodium | 509 | $11K |
Prescribing Profile
Patient Profile
76
Avg Age
80%
Female
1.46
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