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
11,329
Total Claims
$976K
Drug Cost
1,090
Beneficiaries
$896
Cost/Patient
Risk Score Breakdown 15/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
-37%
Opioid rate vs peers
1.4% vs 2.2% avg
-37%
Cost per patient vs peers
$896 vs $1,411 avg
+15%
Brand preference vs peers
12.3% 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
1.4%
Opioid Rate
161
Opioid Claims
$1,564
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 1,379 claims · $813K
Generic: 9,870 claims · $159K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Semaglutide | 74 | $90K |
| Dapagliflozin Propanediol | 63 | $84K |
| Apixaban | 69 | $72K |
| Empagliflozin | 60 | $65K |
| Fluticasone/Umeclidin/Vilanter | 45 | $55K |
| Tirzepatide | 42 | $53K |
| Dulaglutide | 39 | $48K |
| Linaclotide | 55 | $44K |
| Insulin Glargine,hum.Rec.Anlog | 32 | $21K |
| Fluticasone/Vilanterol | 42 | $20K |
| Budesonide/Glycopyr/Formoterol | 20 | $19K |
| Sitagliptin Phos/Metformin Hcl | 22 | $18K |
| Semaglutide | 16 | $16K |
| Insulin Glargine,hum.Rec.Anlog | 31 | $15K |
| Rivaroxaban | 12 | $13K |
Prescribing Profile
Patient Profile
73
Avg Age
72%
Female
1.18
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