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
15,393
Total Claims
$935K
Drug Cost
590
Beneficiaries
$1,584
Cost/Patient
Risk Score Breakdown 24/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+89%
Opioid rate vs peers
4.2% vs 2.2% avg
+12%
Cost per patient vs peers
$1,584 vs $1,411 avg
+10%
Brand preference vs peers
11.7% 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
4.2%
Opioid Rate
651
Opioid Claims
$19K
Opioid Cost
2.8%
Long-Acting Rate
Brand vs Generic
Brand: 1,779 claims · $641K
Generic: 13,458 claims · $284K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 362 | $147K |
| Sitagliptin Phosphate | 84 | $63K |
| Insulin Glargine,hum.Rec.Anlog | 54 | $31K |
| Rivaroxaban | 66 | $31K |
| Budesonide/Formoterol Fumarate | 39 | $23K |
| Empagliflozin | 24 | $22K |
| Linaclotide | 20 | $18K |
| Insulin Nph Hum/Reg Insulin Hm | 18 | $14K |
| Mirabegron | 20 | $14K |
| Insulin Nph Hum/Reg Insulin Hm | 24 | $14K |
| Fluticasone Propion/Salmeterol | 26 | $12K |
| Hydrocodone/Acetaminophen | 399 | $12K |
| Insulin Aspart Prot/Insuln Asp | 12 | $11K |
| Atorvastatin Calcium | 809 | $11K |
| Umeclidinium Brm/Vilanterol Tr | 12 | $10K |
Prescribing Profile
Patient Profile
78
Avg Age
61%
Female
1.95
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