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
21,749
Total Claims
$6.7M
Drug Cost
1,422
Beneficiaries
$4,740
Cost/Patient
Risk Score Breakdown 51/100
Score components are additive. Read full methodology
Peer Comparison vs. 18,720 Cardiology providers
+211%
Cost per patient vs peers
$4,740 vs $1,524 avg
+34%
Brand preference vs peers
18.3% vs 13.7% 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.
Opioid Prescribing
30.3%
Opioid Rate
6,597
Opioid Claims
$483K
Opioid Cost
23.1%
Long-Acting Rate
This provider's opioid prescribing rate of 30.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 3,945 claims · $6.3M
Generic: 17,639 claims · $363K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Tafamidis | 82 | $2.0M |
| Vutrisiran Sodium | 12 | $1.5M |
| Semaglutide | 275 | $326K |
| Apixaban | 328 | $316K |
| Oxycodone Myristate | 718 | $255K |
| Semaglutide | 186 | $249K |
| Tirzepatide | 205 | $249K |
| Sacubitril/Valsartan | 212 | $195K |
| Rivaroxaban | 211 | $185K |
| Empagliflozin | 173 | $176K |
| Dapagliflozin Propanediol | 87 | $87K |
| Oxycodone Hcl/Acetaminophen | 2,175 | $57K |
| Insulin Pump Cart,automated,bt | 60 | $55K |
| Sitagliptin Phosphate | 53 | $53K |
| Capsaicin/Skin Cleanser | 15 | $51K |
Prescribing Profile
Patient Profile
69
Avg Age
57%
Female
2.30
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