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
9,639
Total Claims
$752K
Drug Cost
1,227
Beneficiaries
$613
Cost/Patient
Risk Score Breakdown 9/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
-57%
Opioid rate vs peers
3.9% vs 9.2% avg
-15%
Cost per patient vs peers
$613 vs $719 avg
+55%
Brand preference vs peers
10.3% vs 6.7% 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
3.9%
Opioid Rate
378
Opioid Claims
$9,146
Opioid Cost
6.9%
Long-Acting Rate
Brand vs Generic
Brand: 988 claims · $571K
Generic: 8,612 claims · $177K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 139 | $154K |
| Rivaroxaban | 62 | $73K |
| Semaglutide | 39 | $47K |
| Empagliflozin | 30 | $40K |
| Insulin Glargine,hum.Rec.Anlog | 51 | $36K |
| Fluticasone/Umeclidin/Vilanter | 34 | $33K |
| Sitagliptin Phosphate | 18 | $19K |
| Budesonide/Formoterol Fumarate | 28 | $18K |
| Semaglutide | 12 | $18K |
| Insulin Lispro | 17 | $11K |
| Gabapentin | 347 | $11K |
| Atorvastatin Calcium | 617 | $8,037 |
| Levothyroxine Sodium | 329 | $6,757 |
| Albuterol Sulfate | 142 | $5,587 |
| Omeprazole | 256 | $4,918 |
Prescribing Profile
Patient Profile
73
Avg Age
59%
Female
1.96
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