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
16,450
Total Claims
$1.4M
Drug Cost
493
Beneficiaries
$2,778
Cost/Patient
Risk Score Breakdown 26/100
Score components are additive. Read full methodology
Peer Comparison vs. 13,124 General Surgery providers
-79%
Opioid rate vs peers
6.3% vs 30.2% avg
+999%
Cost per patient vs peers
$2,778 vs $253 avg
+112%
Brand preference vs peers
10.6% vs 5.0% 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
Cost per patient is 999% above the specialty average. Extreme cost outliers may indicate prescribing of unnecessarily expensive brand-name drugs or inappropriate drug utilization.
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
6.3%
Opioid Rate
1,037
Opioid Claims
$25K
Opioid Cost
2.6%
Long-Acting Rate
Brand vs Generic
Brand: 1,726 claims · $1.1M
Generic: 14,626 claims · $310K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Semaglutide | 97 | $102K |
| Tirzepatide | 66 | $81K |
| Apixaban | 141 | $79K |
| Semaglutide | 34 | $62K |
| Dulaglutide | 45 | $59K |
| Linaclotide | 61 | $42K |
| Dapagliflozin Propanediol | 24 | $38K |
| Sitagliptin Phosphate | 29 | $37K |
| Insulin Degludec | 40 | $36K |
| Rivaroxaban | 74 | $32K |
| Buprenorphine Hcl/Naloxone Hcl | 102 | $30K |
| Vibegron | 26 | $30K |
| Insulin Detemir | 36 | $29K |
| Empagliflozin | 21 | $28K |
| Insulin Glargine,hum.Rec.Anlog | 80 | $25K |
Prescribing Profile
Patient Profile
69
Avg Age
60%
Female
1.56
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