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
12,667
Total Claims
$848K
Drug Cost
646
Beneficiaries
$1,313
Cost/Patient
Risk Score Breakdown 24/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
-54%
Opioid rate vs peers
1.0% vs 2.2% avg
-7%
Cost per patient vs peers
$1,313 vs $1,411 avg
+33%
Brand preference vs peers
14.1% 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
1.0%
Opioid Rate
130
Opioid Claims
$822
Opioid Cost
11.5%
Long-Acting Rate
Brand vs Generic
Brand: 1,760 claims · $603K
Generic: 10,710 claims · $241K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 321 | $131K |
| Linagliptin | 117 | $60K |
| Insulin Glargine,hum.Rec.Anlog | 105 | $50K |
| Rivaroxaban | 103 | $47K |
| Sitagliptin Phosphate | 66 | $27K |
| Sacubitril/Valsartan | 65 | $23K |
| Empagliflozin | 31 | $17K |
| Insulin Aspart | 21 | $15K |
| Pitavastatin Calcium | 47 | $14K |
| Dulaglutide | 14 | $12K |
| Ticagrelor | 28 | $12K |
| Levothyroxine Sodium | 341 | $11K |
| Budesonide/Formoterol Fumarate | 45 | $11K |
| Sodium Zirconium Cyclosilicate | 15 | $11K |
| Fenofibrate | 154 | $11K |
Prescribing Profile
Patient Profile
79
Avg Age
61%
Female
1.95
Avg Risk Score
Explore More
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