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
11,469
Total Claims
$942K
Drug Cost
911
Beneficiaries
$1,035
Cost/Patient
Risk Score Breakdown 15/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+226%
Opioid rate vs peers
8.4% vs 2.6% avg
-3%
Cost per patient vs peers
$1,035 vs $1,068 avg
-2%
Brand preference vs peers
8.8% vs 9.0% 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
Opioid rate is 226% above Family Practice peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
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
8.4%
Opioid Rate
963
Opioid Claims
$25K
Opioid Cost
3.6%
Long-Acting Rate
Brand vs Generic
Brand: 1,005 claims · $750K
Generic: 10,410 claims · $189K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Dulaglutide | 97 | $137K |
| Empagliflozin | 100 | $94K |
| Semaglutide | 38 | $58K |
| Apixaban | 48 | $54K |
| Sitagliptin Phosphate | 44 | $46K |
| Tirzepatide | 27 | $33K |
| Insulin Glargine,hum.Rec.Anlog | 31 | $30K |
| Rivaroxaban | 20 | $28K |
| Linagliptin | 27 | $28K |
| Insulin Degludec | 21 | $27K |
| Insulin Glargine,hum.Rec.Anlog | 27 | $18K |
| Sitagliptin Phos/Metformin Hcl | 11 | $17K |
| Dapagliflozin Propanediol | 25 | $16K |
| Semaglutide | 12 | $12K |
| Insulin Lispro | 11 | $9,037 |
Prescribing Profile
Patient Profile
72
Avg Age
49%
Female
1.22
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