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
26,422
Total Claims
$2.0M
Drug Cost
501
Beneficiaries
$3,967
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+19%
Opioid rate vs peers
3.1% vs 2.6% avg
+272%
Cost per patient vs peers
$3,967 vs $1,068 avg
+144%
Brand preference vs peers
22.0% 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
3.1%
Opioid Rate
808
Opioid Claims
$14K
Opioid Cost
22.2%
Long-Acting Rate
Brand vs Generic
Brand: 5,781 claims · $1.3M
Generic: 20,523 claims · $633K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 849 | $225K |
| Rivaroxaban | 660 | $170K |
| Valbenazine Tosylate | 24 | $99K |
| Insulin Glargine,hum.Rec.Anlog | 224 | $70K |
| Empagliflozin | 216 | $68K |
| Semaglutide | 56 | $56K |
| Linaclotide | 76 | $42K |
| Tetrabenazine | 14 | $40K |
| Dimethyl Fumarate | 11 | $39K |
| Dupilumab | 11 | $36K |
| Eslicarbazepine Acetate | 58 | $34K |
| Linagliptin | 118 | $31K |
| Pantoprazole Sodium | 620 | $28K |
| Potassium Chloride | 601 | $26K |
| Patiromer Calcium Sorbitex | 58 | $25K |
Prescribing Profile
Patient Profile
83
Avg Age
71%
Female
2.19
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