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
12,703
Total Claims
$849K
Drug Cost
771
Beneficiaries
$1,101
Cost/Patient
Risk Score Breakdown 15/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+67%
Opioid rate vs peers
3.7% vs 2.2% avg
-22%
Cost per patient vs peers
$1,101 vs $1,411 avg
-16%
Brand preference vs peers
9.0% 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
3.7%
Opioid Rate
476
Opioid Claims
$11K
Opioid Cost
8.4%
Long-Acting Rate
Brand vs Generic
Brand: 1,128 claims · $645K
Generic: 11,471 claims · $199K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 122 | $102K |
| Insulin Degludec | 98 | $74K |
| Semaglutide | 48 | $52K |
| Fluticasone/Umeclidin/Vilanter | 52 | $48K |
| Sitagliptin Phosphate | 42 | $40K |
| Empagliflozin | 32 | $27K |
| Budesonide/Glycopyr/Formoterol | 39 | $26K |
| Dulaglutide | 25 | $25K |
| Dapagliflozin Propanediol | 30 | $20K |
| Mirabegron | 30 | $18K |
| Budesonide/Formoterol Fumarate | 19 | $14K |
| Rivaroxaban | 18 | $13K |
| Umeclidinium Brm/Vilanterol Tr | 25 | $13K |
| Linaclotide | 15 | $12K |
| Sitagliptin Phos/Metformin Hcl | 20 | $12K |
Prescribing Profile
Patient Profile
75
Avg Age
51%
Female
1.45
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