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
97,553
Total Claims
$24.2M
Drug Cost
71,750
Beneficiaries
$337
Cost/Patient
Risk Score Breakdown 30/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
-97%
Opioid rate vs peers
0.1% vs 2.6% avg
-68%
Cost per patient vs peers
$337 vs $1,068 avg
+950%
Brand preference vs peers
94.5% vs 9.0% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
⚠️ 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
0.1%
Opioid Rate
71
Opioid Claims
$1,177
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 92,135 claims · $24.1M
Generic: 5,343 claims · $99K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Rsv Vacc, Pref A And Pref B/Pf | 47,076 | $15.5M |
| Varicella-Zoster Ge/As01b/Pf | 35,044 | $7.5M |
| Diphth,pertuss(Acell),tet Vac | 7,997 | $500K |
| Hepatitis A And B Vaccine/Pf | 636 | $89K |
| Sitagliptin Phosphate | 27 | $47K |
| Apixaban | 46 | $40K |
| Semaglutide | 31 | $40K |
| Insulin Glargine,hum.Rec.Anlog | 57 | $39K |
| Lamotrigine | 12 | $31K |
| Insulin Aspart | 27 | $23K |
| Levetiracetam | 13 | $21K |
| Mirabegron | 35 | $20K |
| Empagliflozin | 18 | $18K |
| Rivaroxaban | 11 | $18K |
| Hpv Vaccine 9-Valent/Pf | 57 | $17K |
Prescribing Profile
Patient Profile
74
Avg Age
58%
Female
1.12
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