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
9,612
Total Claims
$598K
Drug Cost
284
Beneficiaries
$2,105
Cost/Patient
Risk Score Breakdown 26/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+19%
Opioid rate vs peers
2.7% vs 2.2% avg
+49%
Cost per patient vs peers
$2,105 vs $1,411 avg
+70%
Brand preference vs peers
18.1% 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
2.7%
Opioid Rate
257
Opioid Claims
$3,865
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 1,736 claims · $404K
Generic: 7,862 claims · $193K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 436 | $99K |
| Sitagliptin Phosphate | 203 | $39K |
| Semaglutide | 21 | $21K |
| Mirabegron | 144 | $17K |
| Insulin Detemir | 11 | $16K |
| Fluticasone/Umeclidin/Vilanter | 17 | $15K |
| Insulin Aspart | 45 | $10K |
| Insulin Lispro | 65 | $10K |
| Pantoprazole Sodium | 225 | $10K |
| Ondansetron Hcl | 92 | $9,587 |
| Insulin Glargine,hum.Rec.Anlog | 59 | $8,606 |
| Atorvastatin Calcium | 422 | $8,393 |
| Linagliptin | 53 | $8,299 |
| Glycopyrrolate/Formoterol Fum | 14 | $6,235 |
| Umeclidinium Brm/Vilanterol Tr | 12 | $5,966 |
Prescribing Profile
Patient Profile
77
Avg Age
72%
Female
1.95
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