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
9,906
Total Claims
$435K
Drug Cost
1,018
Beneficiaries
$428
Cost/Patient
Risk Score Breakdown 15/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+100%
Opioid rate vs peers
4.5% vs 2.2% avg
-70%
Cost per patient vs peers
$428 vs $1,411 avg
-23%
Brand preference vs peers
8.2% 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
4.5%
Opioid Rate
443
Opioid Claims
$6,966
Opioid Cost
5.9%
Long-Acting Rate
Brand vs Generic
Brand: 810 claims · $258K
Generic: 9,034 claims · $176K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Empagliflozin | 62 | $48K |
| Rivaroxaban | 19 | $23K |
| Tiotropium Bromide | 47 | $21K |
| Insulin Regular, Human | 11 | $17K |
| Dabigatran Etexilate Mesylate | 56 | $15K |
| Mirabegron | 16 | $12K |
| Ciclesonide | 111 | $11K |
| Atorvastatin Calcium | 635 | $9,990 |
| Fluticasone Propion/Salmeterol | 56 | $9,659 |
| Tiotropium Br/Olodaterol Hcl | 17 | $8,833 |
| Ipratropium Bromide | 13 | $8,699 |
| Levothyroxine Sodium | 359 | $7,941 |
| Losartan Potassium | 375 | $5,294 |
| Tamsulosin Hcl | 272 | $5,267 |
| Gabapentin | 200 | $5,243 |
Prescribing Profile
Patient Profile
76
Avg Age
53%
Female
1.14
Avg Risk Score
Explore More
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