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
52,017
Total Claims
$3.7M
Drug Cost
1,534
Beneficiaries
$2,422
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 44,021 Emergency Medicine providers
-72%
Opioid rate vs peers
2.6% vs 9.4% avg
+998%
Brand preference vs peers
16.3% vs 1.5% 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
2.6%
Opioid Rate
1,370
Opioid Claims
$66K
Opioid Cost
9.9%
Long-Acting Rate
Brand vs Generic
Brand: 8,401 claims · $2.6M
Generic: 43,154 claims · $1.0M
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 1,766 | $549K |
| Pimavanserin Tartrate | 104 | $239K |
| Dulaglutide | 191 | $147K |
| Fluticasone/Umeclidin/Vilanter | 161 | $98K |
| Rifaximin | 58 | $80K |
| Semaglutide | 75 | $74K |
| Lipase/Protease/Amylase | 105 | $71K |
| Mirabegron | 201 | $67K |
| Cariprazine Hcl | 68 | $64K |
| Dapagliflozin Propanediol | 160 | $61K |
| Rivaroxaban | 184 | $58K |
| Vortioxetine Hydrobromide | 155 | $48K |
| Memantine Hcl | 829 | $45K |
| Sacubitril/Valsartan | 154 | $41K |
| Potassium Chloride | 1,559 | $39K |
Prescribing Profile
Patient Profile
78
Avg Age
65%
Female
2.49
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