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
9,151
Total Claims
$1.0M
Drug Cost
334
Beneficiaries
$3,030
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
-24%
Opioid rate vs peers
1.7% vs 2.2% avg
+115%
Cost per patient vs peers
$3,030 vs $1,411 avg
+31%
Brand preference vs peers
13.9% 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
1.7%
Opioid Rate
156
Opioid Claims
$13K
Opioid Cost
50.0%
Long-Acting Rate
Brand vs Generic
Brand: 1,262 claims · $672K
Generic: 7,815 claims · $333K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Dulaglutide | 108 | $89K |
| Apixaban | 159 | $64K |
| Rivaroxaban | 120 | $64K |
| Fluticasone/Umeclidin/Vilanter | 80 | $54K |
| Naltrexone Microspheres | 12 | $20K |
| Insulin Glargine,hum.Rec.Anlog | 78 | $19K |
| Sacubitril/Valsartan | 29 | $19K |
| Pantoprazole Sodium | 363 | $16K |
| Empagliflozin | 27 | $15K |
| Duloxetine Hcl | 209 | $14K |
| Quetiapine Fumarate | 134 | $13K |
| Atorvastatin Calcium | 276 | $12K |
| Ipratropium/Albuterol Sulfate | 12 | $12K |
| Olanzapine | 46 | $9,663 |
| Buprenorphine | 58 | $9,649 |
Prescribing Profile
Patient Profile
77
Avg Age
70%
Female
3.20
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