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
13,327
Total Claims
$992K
Drug Cost
583
Beneficiaries
$1,702
Cost/Patient
Risk Score Breakdown 13/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,389 General Practice providers
-35%
Opioid rate vs peers
1.6% vs 2.5% avg
+51%
Cost per patient vs peers
$1,702 vs $1,128 avg
+66%
Brand preference vs peers
13.9% vs 8.4% 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
1.6%
Opioid Rate
216
Opioid Claims
$2,081
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 1,831 claims · $787K
Generic: 11,317 claims · $200K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Dapagliflozin Propanediol | 70 | $85K |
| Insulin Glargine,hum.Rec.Anlog | 196 | $82K |
| Empagliflozin | 56 | $76K |
| Rivaroxaban | 52 | $56K |
| Linagliptin | 36 | $56K |
| Sitagliptin Phos/Metformin Hcl | 40 | $50K |
| Sitagliptin Phosphate | 26 | $32K |
| Apixaban | 19 | $27K |
| Linagliptin/Metformin Hcl | 13 | $20K |
| Budesonide/Formoterol Fumarate | 45 | $19K |
| Insulin Lispro | 41 | $18K |
| Bimatoprost | 51 | $15K |
| Levothyroxine Sodium | 111 | $15K |
| Insulin Nph Hum/Reg Insulin Hm | 41 | $14K |
| Atorvastatin Calcium | 934 | $14K |
Prescribing Profile
Patient Profile
73
Avg Age
57%
Female
1.70
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