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
9,872
Total Claims
$782K
Drug Cost
221
Beneficiaries
$3,540
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
-33%
Opioid rate vs peers
1.5% vs 2.2% avg
+151%
Cost per patient vs peers
$3,540 vs $1,411 avg
+69%
Brand preference vs peers
18.0% 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
1.5%
Opioid Rate
148
Opioid Claims
$4,499
Opioid Cost
18.2%
Long-Acting Rate
Brand vs Generic
Brand: 1,763 claims · $553K
Generic: 8,035 claims · $225K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Rivaroxaban | 376 | $104K |
| Apixaban | 279 | $79K |
| Pimavanserin Tartrate | 22 | $50K |
| Empagliflozin | 72 | $21K |
| Sitagliptin Phosphate | 74 | $20K |
| Sacubitril/Valsartan | 54 | $18K |
| Epoetin Alfa | 29 | $17K |
| Insulin Aspart | 68 | $16K |
| Collagenase Clostridium Hist. | 26 | $15K |
| Vortioxetine Hydrobromide | 51 | $12K |
| Linaclotide | 22 | $12K |
| Insulin Detemir | 40 | $11K |
| Mesalamine | 15 | $10K |
| Olanzapine | 18 | $9,670 |
| Potassium Chloride | 216 | $9,667 |
Prescribing Profile
Patient Profile
84
Avg Age
73%
Female
2.18
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