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
11,787
Total Claims
$562K
Drug Cost
365
Beneficiaries
$1,540
Cost/Patient
Risk Score Breakdown 26/100
Score components are additive. Read full methodology
Peer Comparison vs. 16,767 Hospitalist providers
+27%
Opioid rate vs peers
3.8% vs 3.0% avg
+260%
Cost per patient vs peers
$1,540 vs $427 avg
+153%
Brand preference vs peers
13.3% 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
3.8%
Opioid Rate
448
Opioid Claims
$9,816
Opioid Cost
8.5%
Long-Acting Rate
Brand vs Generic
Brand: 1,563 claims · $351K
Generic: 10,209 claims · $210K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 462 | $131K |
| Mirabegron | 116 | $33K |
| Sacubitril/Valsartan | 54 | $15K |
| Pantoprazole Sodium | 272 | $12K |
| Dulaglutide | 13 | $12K |
| Sitagliptin Phosphate | 38 | $11K |
| Ipratropium/Albuterol Sulfate | 20 | $10K |
| Lidocaine | 88 | $9,542 |
| Empagliflozin | 26 | $9,250 |
| Potassium Chloride | 408 | $7,664 |
| Dapagliflozin Propanediol | 26 | $7,396 |
| Vibegron | 22 | $7,308 |
| Insulin Lispro | 48 | $6,966 |
| Rivaroxaban | 19 | $6,810 |
| Budesonide | 18 | $6,550 |
Prescribing Profile
Patient Profile
84
Avg Age
69%
Female
2.10
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