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
21,000
Total Claims
$1.7M
Drug Cost
672
Beneficiaries
$2,472
Cost/Patient
Risk Score Breakdown 24/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+51%
Opioid rate vs peers
3.4% vs 2.2% avg
+75%
Cost per patient vs peers
$2,472 vs $1,411 avg
+27%
Brand preference vs peers
13.5% 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
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
3.4%
Opioid Rate
711
Opioid Claims
$94K
Opioid Cost
10.5%
Long-Acting Rate
Brand vs Generic
Brand: 2,816 claims · $1.2M
Generic: 18,065 claims · $485K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 489 | $240K |
| Semaglutide | 103 | $113K |
| Lipase/Protease/Amylase | 24 | $61K |
| Insulin Glargine,hum.Rec.Anlog | 130 | $59K |
| Oxycodone Hcl/Acetaminophen | 11 | $51K |
| Rivaroxaban | 92 | $45K |
| Budesonide/Formoterol Fumarate | 97 | $43K |
| Fluticasone/Umeclidin/Vilanter | 63 | $36K |
| Mirabegron | 101 | $35K |
| Empagliflozin | 56 | $27K |
| Insulin Aspart | 25 | $26K |
| Oxycodone Myristate | 37 | $26K |
| Semaglutide | 22 | $22K |
| Insulin Aspart | 62 | $20K |
| Insulin Detemir | 42 | $20K |
Prescribing Profile
Patient Profile
77
Avg Age
51%
Female
1.86
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 of wrongdoing.Methodology · About · Dispute this data