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
29,060
Total Claims
$1.8M
Drug Cost
480
Beneficiaries
$3,699
Cost/Patient
Risk Score Breakdown 26/100
Score components are additive. Read full methodology
Peer Comparison vs. 712 Family Medicine providers
+70%
Opioid rate vs peers
6.0% vs 3.5% avg
+353%
Cost per patient vs peers
$3,699 vs $816 avg
+140%
Brand preference vs peers
14.9% vs 6.2% 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
6.0%
Opioid Rate
1,747
Opioid Claims
$48K
Opioid Cost
15.8%
Long-Acting Rate
Brand vs Generic
Brand: 4,296 claims · $1.2M
Generic: 24,484 claims · $576K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 476 | $160K |
| Mirabegron | 299 | $83K |
| Rivaroxaban | 173 | $64K |
| Sitagliptin Phosphate | 116 | $49K |
| Fluticasone/Umeclidin/Vilanter | 66 | $45K |
| Semaglutide | 41 | $41K |
| Linagliptin | 94 | $37K |
| Insulin Glargine,hum.Rec.Anlog | 157 | $36K |
| Rifaximin | 14 | $33K |
| Paliperidone Palmitate | 14 | $33K |
| Cariprazine Hcl | 26 | $33K |
| Budesonide/Formoterol Fumarate | 82 | $33K |
| Aripiprazole | 11 | $31K |
| Dulaglutide | 29 | $27K |
| Insulin Aspart | 76 | $25K |
Prescribing Profile
Patient Profile
79
Avg Age
67%
Female
2.10
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