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
21,067
Total Claims
$1.4M
Drug Cost
309
Beneficiaries
$4,423
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
-50%
Opioid rate vs peers
1.3% vs 2.6% avg
+314%
Cost per patient vs peers
$4,423 vs $1,068 avg
+43%
Brand preference vs peers
12.9% vs 9.0% 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
1.3%
Opioid Rate
271
Opioid Claims
$7,099
Opioid Cost
18.1%
Long-Acting Rate
Brand vs Generic
Brand: 2,713 claims · $983K
Generic: 18,319 claims · $380K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 280 | $111K |
| Sitagliptin Phosphate | 183 | $82K |
| Semaglutide | 27 | $61K |
| Insulin Aspart | 167 | $58K |
| Insulin Detemir | 27 | $42K |
| Insulin Glargine,hum.Rec.Anlog | 86 | $38K |
| Rivaroxaban | 103 | $36K |
| Linaclotide | 56 | $34K |
| Insulin Degludec | 44 | $32K |
| Semaglutide | 27 | $30K |
| Risperidone Microspheres | 12 | $30K |
| Icosapent Ethyl | 137 | $30K |
| Insulin Detemir | 82 | $28K |
| Insulin Glargine,hum.Rec.Anlog | 39 | $26K |
| Empagliflozin | 49 | $21K |
Prescribing Profile
Patient Profile
71
Avg Age
66%
Female
1.77
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