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
17,306
Total Claims
$657K
Drug Cost
1,711
Beneficiaries
$384
Cost/Patient
Risk Score Breakdown 49/100
Score components are additive. Read full methodology
Peer Comparison vs. 13,928 Gastroenterology providers
-80%
Cost per patient vs peers
$384 vs $1,956 avg
-36%
Brand preference vs peers
9.2% vs 14.4% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
⚠️ 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
7.5%
Opioid Rate
1,295
Opioid Claims
$23K
Opioid Cost
9.7%
Long-Acting Rate
Brand vs Generic
Brand: 1,566 claims · $375K
Generic: 15,501 claims · $277K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Dabigatran Etexilate Mesylate | 265 | $62K |
| Tiotropium Bromide | 74 | $53K |
| Apixaban | 46 | $41K |
| Insulin Nph Human Isophane | 141 | $29K |
| Rivaroxaban | 44 | $29K |
| Fluticasone Propion/Salmeterol | 123 | $28K |
| Empagliflozin | 53 | $23K |
| Atorvastatin Calcium | 1,479 | $20K |
| Ciclesonide | 124 | $15K |
| Insulin Regular, Human | 64 | $10K |
| Potassium Chloride | 326 | $9,968 |
| Levothyroxine Sodium | 477 | $9,705 |
| Losartan Potassium | 820 | $9,670 |
| Hydrocodone/Acetaminophen | 538 | $9,140 |
| Gabapentin | 360 | $8,756 |
Prescribing Profile
Patient Profile
74
Avg Age
51%
Female
1.24
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