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
9,376
Total Claims
$874K
Drug Cost
684
Beneficiaries
$1,278
Cost/Patient
Risk Score Breakdown 30/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
-54%
Opioid rate vs peers
1.0% vs 2.2% avg
-9%
Cost per patient vs peers
$1,278 vs $1,411 avg
+45%
Brand preference vs peers
15.4% 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
1.0%
Opioid Rate
97
Opioid Claims
$6,516
Opioid Cost
24.7%
Long-Acting Rate
Brand vs Generic
Brand: 1,437 claims · $697K
Generic: 7,869 claims · $175K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 367 | $150K |
| Rifaximin | 15 | $73K |
| Empagliflozin | 86 | $51K |
| Sitagliptin Phosphate | 68 | $40K |
| Rivaroxaban | 63 | $39K |
| Sitagliptin Phos/Metformin Hcl | 26 | $33K |
| Dulaglutide | 22 | $29K |
| Semaglutide | 20 | $26K |
| Sacubitril/Valsartan | 35 | $16K |
| Insulin Lispro | 19 | $15K |
| Insulin Glargine,hum.Rec.Anlog | 26 | $14K |
| Mirabegron | 17 | $13K |
| Insulin Glargine,hum.Rec.Anlog | 51 | $11K |
| Fluticasone/Vilanterol | 18 | $10K |
| Fluticasone/Umeclidin/Vilanter | 13 | $9,534 |
Prescribing Profile
Patient Profile
78
Avg Age
58%
Female
1.68
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