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
18,748
Total Claims
$1.4M
Drug Cost
917
Beneficiaries
$1,474
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 44,021 Emergency Medicine providers
-76%
Opioid rate vs peers
2.2% vs 9.4% avg
+685%
Brand preference vs peers
11.6% vs 1.5% 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
2.2%
Opioid Rate
418
Opioid Claims
$10K
Opioid Cost
15.1%
Long-Acting Rate
Brand vs Generic
Brand: 2,169 claims · $969K
Generic: 16,462 claims · $374K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 306 | $149K |
| Fluticasone/Umeclidin/Vilanter | 79 | $86K |
| Sitagliptin Phosphate | 117 | $85K |
| Pimavanserin Tartrate | 15 | $73K |
| Rivaroxaban | 76 | $42K |
| Insulin Glargine,hum.Rec.Anlog | 143 | $42K |
| Mirabegron | 110 | $32K |
| Insulin Glargine,hum.Rec.Anlog | 24 | $27K |
| Semaglutide | 12 | $24K |
| Sitagliptin Phos/Metformin Hcl | 18 | $21K |
| Dulaglutide | 18 | $20K |
| Insulin Glargine,hum.Rec.Anlog | 15 | $20K |
| Empagliflozin | 24 | $16K |
| Dapagliflozin Propanediol | 31 | $15K |
| Levothyroxine Sodium | 858 | $14K |
Prescribing Profile
Patient Profile
77
Avg Age
66%
Female
1.43
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