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
13,728
Total Claims
$2.1M
Drug Cost
585
Beneficiaries
$3,621
Cost/Patient
Risk Score Breakdown 18/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
-12%
Opioid rate vs peers
2.0% vs 2.2% avg
+157%
Cost per patient vs peers
$3,621 vs $1,411 avg
+68%
Brand preference vs peers
17.8% 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
2.0%
Opioid Rate
269
Opioid Claims
$7,158
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 2,423 claims · $1.9M
Generic: 11,166 claims · $259K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Semaglutide | 170 | $207K |
| Empagliflozin | 165 | $201K |
| Apixaban | 148 | $181K |
| Dulaglutide | 91 | $132K |
| Rivaroxaban | 71 | $75K |
| Fluticasone/Umeclidin/Vilanter | 57 | $70K |
| Linaclotide | 104 | $69K |
| Umeclidinium Brm/Vilanterol Tr | 56 | $57K |
| Exenatide Microspheres | 35 | $53K |
| Mirabegron | 71 | $51K |
| Tirzepatide | 39 | $49K |
| Insulin Glargine,hum.Rec.Anlog | 52 | $48K |
| Sitagliptin Phosphate | 38 | $44K |
| Semaglutide | 26 | $42K |
| Evolocumab | 34 | $36K |
Prescribing Profile
Patient Profile
74
Avg Age
73%
Female
1.28
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