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
19,230
Total Claims
$972K
Drug Cost
1,171
Beneficiaries
$830
Cost/Patient
Risk Score Breakdown 21/100
Score components are additive. Read full methodology
Peer Comparison vs. 712 Family Medicine providers
-82%
Opioid rate vs peers
0.6% vs 3.5% avg
+2%
Cost per patient vs peers
$830 vs $816 avg
+127%
Brand preference vs peers
14.1% 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
0.6%
Opioid Rate
122
Opioid Claims
$555
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 2,691 claims · $897K
Generic: 16,388 claims · $74K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Rivaroxaban | 425 | $214K |
| Apixaban | 254 | $145K |
| Dabigatran Etexilate Mesylate | 153 | $56K |
| Pimavanserin Tartrate | 11 | $56K |
| Empagliflozin/Linagliptin | 35 | $34K |
| Linagliptin | 37 | $30K |
| Empagliflozin | 46 | $30K |
| Tiotropium Br/Olodaterol Hcl | 77 | $27K |
| Semaglutide | 26 | $26K |
| Sacubitril/Valsartan | 36 | $25K |
| Budesonide/Formoterol Fumarate | 62 | $24K |
| Empagliflozin/Metformin Hcl | 15 | $18K |
| Alogliptin Benzoate | 60 | $16K |
| Varicella-Zoster Ge/As01b/Pf | 81 | $15K |
| Patiromer Calcium Sorbitex | 12 | $12K |
Prescribing Profile
Patient Profile
79
Avg Age
54%
Female
1.88
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