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
36,612
Total Claims
$4.5M
Drug Cost
948
Beneficiaries
$4,767
Cost/Patient
Risk Score Breakdown 30/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+231%
Opioid rate vs peers
7.4% vs 2.2% avg
+238%
Cost per patient vs peers
$4,767 vs $1,411 avg
+50%
Brand preference vs peers
15.9% 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
Opioid rate is 231% above Internal Medicine peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
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
7.4%
Opioid Rate
2,714
Opioid Claims
$92K
Opioid Cost
8.2%
Long-Acting Rate
Brand vs Generic
Brand: 5,783 claims · $4.0M
Generic: 30,576 claims · $551K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Fluticasone/Umeclidin/Vilanter | 689 | $560K |
| Semaglutide | 433 | $556K |
| Apixaban | 523 | $409K |
| Dapagliflozin Propanediol | 437 | $358K |
| Insulin Degludec | 143 | $155K |
| Linaclotide | 228 | $143K |
| Empagliflozin | 147 | $123K |
| Sitagliptin Phosphate | 140 | $117K |
| Rivaroxaban | 157 | $102K |
| Dulaglutide | 68 | $89K |
| Mirabegron | 197 | $89K |
| Lipase/Protease/Amylase | 37 | $76K |
| Insulin Degludec | 94 | $74K |
| Tirzepatide | 59 | $72K |
| Insulin Detemir | 85 | $67K |
Prescribing Profile
Patient Profile
72
Avg Age
58%
Female
1.83
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