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
11,706
Total Claims
$1.4M
Drug Cost
878
Beneficiaries
$1,596
Cost/Patient
Risk Score Breakdown 9/100
Score components are additive. Read full methodology
Peer Comparison vs. 16,767 Hospitalist providers
-10%
Opioid rate vs peers
2.7% vs 3.0% avg
+274%
Cost per patient vs peers
$1,596 vs $427 avg
+157%
Brand preference vs peers
13.5% vs 5.2% 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
2.7%
Opioid Rate
316
Opioid Claims
$9,145
Opioid Cost
3.8%
Long-Acting Rate
Brand vs Generic
Brand: 1,565 claims · $1.1M
Generic: 10,033 claims · $297K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 218 | $286K |
| Empagliflozin | 169 | $154K |
| Sitagliptin Phosphate | 69 | $96K |
| Semaglutide | 72 | $81K |
| Metformin Hcl | 12 | $69K |
| Insulin Glargine,hum.Rec.Anlog | 93 | $60K |
| Dulaglutide | 52 | $59K |
| Budesonide/Formoterol Fumarate | 55 | $30K |
| Mirabegron | 28 | $26K |
| Tiotropium Bromide | 28 | $21K |
| Rivaroxaban | 13 | $18K |
| Tirzepatide | 13 | $16K |
| Tiotropium Bromide | 12 | $16K |
| Linagliptin | 12 | $15K |
| Insulin Aspart | 16 | $14K |
Prescribing Profile
Patient Profile
75
Avg Age
45%
Female
1.31
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