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
11,347
Total Claims
$836K
Drug Cost
561
Beneficiaries
$1,490
Cost/Patient
Risk Score Breakdown 13/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+39%
Opioid rate vs peers
3.1% vs 2.2% avg
+6%
Cost per patient vs peers
$1,490 vs $1,411 avg
+5%
Brand preference vs peers
11.2% 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
3.1%
Opioid Rate
353
Opioid Claims
$4,935
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 1,253 claims · $673K
Generic: 9,975 claims · $158K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 209 | $138K |
| Dulaglutide | 66 | $76K |
| Semaglutide | 62 | $65K |
| Empagliflozin | 72 | $43K |
| Rivaroxaban | 51 | $41K |
| Insulin Glargine,hum.Rec.Anlog | 72 | $32K |
| Linagliptin | 24 | $23K |
| Fluticasone Propion/Salmeterol | 27 | $17K |
| Insulin Nph Hum/Reg Insulin Hm | 38 | $17K |
| Sitagliptin Phosphate | 11 | $14K |
| Sitagliptin Phos/Metformin Hcl | 13 | $12K |
| Insulin Lispro | 22 | $12K |
| Insulin Aspart | 16 | $11K |
| Sodium Zirconium Cyclosilicate | 12 | $9,856 |
| Fluticasone/Umeclidin/Vilanter | 11 | $9,060 |
Prescribing Profile
Patient Profile
76
Avg Age
48%
Female
1.17
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