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
19,272
Total Claims
$864K
Drug Cost
442
Beneficiaries
$1,954
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
-36%
Opioid rate vs peers
1.7% vs 2.6% avg
+83%
Cost per patient vs peers
$1,954 vs $1,068 avg
+60%
Brand preference vs peers
14.4% 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
1.7%
Opioid Rate
319
Opioid Claims
$13K
Opioid Cost
30.1%
Long-Acting Rate
Brand vs Generic
Brand: 2,770 claims · $522K
Generic: 16,436 claims · $336K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 625 | $155K |
| Rivaroxaban | 166 | $29K |
| Sevelamer Carbonate | 25 | $17K |
| Insulin Glargine,hum.Rec.Anlog | 90 | $16K |
| Fluticasone Propion/Salmeterol | 31 | $16K |
| Liraglutide | 25 | $16K |
| Budesonide/Formoterol Fumarate | 36 | $14K |
| Insulin Aspart | 63 | $14K |
| Mirabegron | 55 | $13K |
| Insulin Glargine,hum.Rec.Anlog | 72 | $12K |
| Duloxetine Hcl | 301 | $11K |
| Insulin Glargine,hum.Rec.Anlog | 34 | $11K |
| Tiotropium Bromide | 27 | $11K |
| Atorvastatin Calcium | 1,079 | $11K |
| Insulin Detemir | 52 | $9,875 |
Prescribing Profile
Patient Profile
78
Avg Age
62%
Female
2.01
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