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
27,374
Total Claims
$3.5M
Drug Cost
693
Beneficiaries
$5,045
Cost/Patient
Risk Score Breakdown 30/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
-66%
Opioid rate vs peers
0.8% vs 2.2% avg
+258%
Cost per patient vs peers
$5,045 vs $1,411 avg
+53%
Brand preference vs peers
16.2% 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
0.8%
Opioid Rate
206
Opioid Claims
$3,311
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 4,406 claims · $2.5M
Generic: 22,728 claims · $944K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Lipase/Protease/Amylase | 208 | $267K |
| Icosapent Ethyl | 417 | $195K |
| Denosumab | 111 | $189K |
| Collagenase Clostridium Hist. | 42 | $135K |
| Apixaban | 338 | $126K |
| Dapagliflozin Propanediol | 145 | $118K |
| Omeprazole/Sodium Bicarbonate | 23 | $115K |
| Empagliflozin | 125 | $107K |
| Sitagliptin Phosphate | 128 | $92K |
| Cyclosporine | 115 | $85K |
| Rivaroxaban | 162 | $85K |
| Linaclotide | 124 | $78K |
| Memantine Hcl | 262 | $68K |
| Insulin Degludec | 14 | $67K |
| Tenofovir Alafenamide | 44 | $65K |
Prescribing Profile
Patient Profile
76
Avg Age
57%
Female
1.68
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