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
9,916
Total Claims
$769K
Drug Cost
445
Beneficiaries
$1,727
Cost/Patient
Risk Score Breakdown 29/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
-26%
Opioid rate vs peers
1.7% vs 2.2% avg
+22%
Cost per patient vs peers
$1,727 vs $1,411 avg
+19%
Brand preference vs peers
12.6% 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
1.7%
Opioid Rate
164
Opioid Claims
$8,434
Opioid Cost
16.5%
Long-Acting Rate
Brand vs Generic
Brand: 1,243 claims · $556K
Generic: 8,601 claims · $210K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 209 | $81K |
| Rivaroxaban | 138 | $45K |
| Sitagliptin Phosphate | 67 | $40K |
| Pimavanserin Tartrate | 14 | $32K |
| Dulaglutide | 11 | $30K |
| Dapagliflozin Propanediol | 31 | $27K |
| Empagliflozin | 17 | $25K |
| Insulin Glargine,hum.Rec.Anlog | 40 | $18K |
| Fluticasone/Umeclidin/Vilanter | 29 | $14K |
| Fluticasone Propion/Salmeterol | 14 | $10K |
| Insulin Glargine,hum.Rec.Anlog | 30 | $9,982 |
| Epoetin Alfa | 14 | $8,021 |
| Insulin Lispro | 34 | $8,007 |
| Insulin Aspart | 21 | $7,523 |
| Aripiprazole | 65 | $7,495 |
Prescribing Profile
Patient Profile
77
Avg Age
62%
Female
2.22
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