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
11,323
Total Claims
$1.1M
Drug Cost
1,631
Beneficiaries
$694
Cost/Patient
Risk Score Breakdown 26/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+425%
Opioid rate vs peers
13.5% vs 2.6% avg
-35%
Cost per patient vs peers
$694 vs $1,068 avg
+163%
Brand preference vs peers
23.7% vs 9.0% 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
Opioid rate is 425% above Family Practice peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
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
13.5%
Opioid Rate
1,532
Opioid Claims
$45K
Opioid Cost
4.2%
Long-Acting Rate
Brand vs Generic
Brand: 2,659 claims · $872K
Generic: 8,580 claims · $255K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Rsv Vacc, Pref A And Pref B/Pf | 790 | $260K |
| Varicella-Zoster Ge/As01b/Pf | 972 | $206K |
| Apixaban | 106 | $62K |
| Semaglutide | 42 | $40K |
| Insulin Aspart | 13 | $19K |
| Insulin Detemir | 17 | $19K |
| Rimegepant Sulfate | 17 | $17K |
| Dulaglutide | 22 | $16K |
| Oxycodone Hcl/Acetaminophen | 637 | $14K |
| Sitagliptin Phosphate | 19 | $13K |
| Albuterol Sulfate | 182 | $12K |
| Rsvpref3 Antigen/As01e/Pf | 38 | $12K |
| Esomeprazole Magnesium | 45 | $11K |
| Oxycodone Hcl | 13 | $11K |
| Budesonide/Formoterol Fumarate | 23 | $9,988 |
Prescribing Profile
Patient Profile
74
Avg Age
59%
Female
1.65
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