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
30,293
Total Claims
$4.1M
Drug Cost
739
Beneficiaries
$5,559
Cost/Patient
Risk Score Breakdown 30/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
-81%
Opioid rate vs peers
0.4% vs 2.2% avg
+294%
Cost per patient vs peers
$5,559 vs $1,411 avg
+84%
Brand preference vs peers
19.5% 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
0.4%
Opioid Rate
127
Opioid Claims
$791
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 5,865 claims · $3.4M
Generic: 24,142 claims · $697K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 601 | $286K |
| Valbenazine Tosylate | 39 | $248K |
| Dapagliflozin Propanediol | 239 | $190K |
| Dulaglutide | 143 | $172K |
| Linaclotide | 206 | $157K |
| Semaglutide | 124 | $143K |
| Evolocumab | 144 | $107K |
| Sacubitril/Valsartan | 159 | $104K |
| Insulin Glargine,hum.Rec.Anlog | 134 | $95K |
| Rivaroxaban | 180 | $92K |
| Budesonide/Formoterol Fumarate | 179 | $86K |
| Memantine Hcl/Donepezil Hcl | 100 | $81K |
| Fluticasone/Umeclidin/Vilanter | 103 | $79K |
| Empagliflozin/Linagliptin | 98 | $77K |
| Fluticasone/Vilanterol | 101 | $53K |
Prescribing Profile
Patient Profile
77
Avg Age
61%
Female
2.56
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