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
56,374
Total Claims
$8.5M
Drug Cost
1,432
Beneficiaries
$5,941
Cost/Patient
Risk Score Breakdown 30/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
-82%
Opioid rate vs peers
0.4% vs 2.2% avg
+321%
Cost per patient vs peers
$5,941 vs $1,411 avg
+93%
Brand preference vs peers
20.5% 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
0.4%
Opioid Rate
229
Opioid Claims
$2,491
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 11,471 claims · $6.9M
Generic: 44,374 claims · $1.6M
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Lipase/Protease/Amylase | 1,656 | $1.7M |
| Icosapent Ethyl | 3,188 | $1.2M |
| Diclofenac Epolamine | 1,570 | $950K |
| Lipase/Protease/Amylase | 305 | $353K |
| Denosumab | 193 | $334K |
| Sitagliptin Phosphate | 446 | $333K |
| Empagliflozin | 348 | $266K |
| Sitagliptin Phos/Metformin Hcl | 371 | $265K |
| Clemastine Fumarate | 40 | $255K |
| Mirabegron | 372 | $188K |
| Linaclotide | 275 | $168K |
| Lidocaine | 672 | $156K |
| Diclofenac Sodium | 324 | $141K |
| Omeprazole/Sodium Bicarbonate | 50 | $141K |
| Linagliptin | 142 | $91K |
Prescribing Profile
Patient Profile
75
Avg Age
60%
Female
0.97
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