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
33,045
Total Claims
$2.1M
Drug Cost
680
Beneficiaries
$3,136
Cost/Patient
Risk Score Breakdown 26/100
Score components are additive. Read full methodology
Peer Comparison vs. 44,021 Emergency Medicine providers
-92%
Opioid rate vs peers
0.7% vs 9.4% avg
+922%
Brand preference vs peers
15.2% 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
0.7%
Opioid Rate
236
Opioid Claims
$6,641
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 5,007 claims · $1.5M
Generic: 28,009 claims · $637K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 886 | $297K |
| Linagliptin | 317 | $137K |
| Fluticasone/Umeclidin/Vilanter | 83 | $55K |
| Dapagliflozin Propanediol | 119 | $46K |
| Vibegron | 186 | $44K |
| Dolutegravir/Rilpivirine | 12 | $42K |
| Linaclotide | 73 | $41K |
| Insulin Aspart | 136 | $41K |
| Ferric Citrate | 60 | $40K |
| Insulin Detemir | 96 | $39K |
| Insulin Aspart | 102 | $32K |
| Dulaglutide | 40 | $30K |
| Empagliflozin | 113 | $29K |
| Semaglutide | 28 | $28K |
| Insulin Glargine,hum.Rec.Anlog | 75 | $26K |
Prescribing Profile
Patient Profile
74
Avg Age
60%
Female
2.64
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