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
10,422
Total Claims
$843K
Drug Cost
756
Beneficiaries
$1,115
Cost/Patient
Risk Score Breakdown 9/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
-88%
Opioid rate vs peers
0.3% vs 2.2% avg
-21%
Cost per patient vs peers
$1,115 vs $1,411 avg
+12%
Brand preference vs peers
11.9% 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
0.3%
Opioid Rate
28
Opioid Claims
$291
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 1,224 claims · $649K
Generic: 9,102 claims · $189K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 112 | $114K |
| Sitagliptin Phosphate | 52 | $66K |
| Dulaglutide | 34 | $51K |
| Semaglutide | 40 | $47K |
| Budesonide/Formoterol Fumarate | 68 | $34K |
| Semaglutide | 17 | $22K |
| Empagliflozin | 24 | $22K |
| Mirabegron | 29 | $20K |
| Sitagliptin Phos/Metformin Hcl | 11 | $18K |
| Tirzepatide | 14 | $18K |
| Linaclotide | 18 | $15K |
| Insulin Glargine,hum.Rec.Anlog | 20 | $14K |
| Rivaroxaban | 13 | $12K |
| Insulin Aspart Prot/Insuln Asp | 19 | $11K |
| Rsvpref3 Antigen/As01e/Pf | 32 | $10K |
Prescribing Profile
Patient Profile
77
Avg Age
51%
Female
1.16
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