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
10,508
Total Claims
$831K
Drug Cost
520
Beneficiaries
$1,599
Cost/Patient
Risk Score Breakdown 18/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
-57%
Opioid rate vs peers
1.1% vs 2.6% avg
+50%
Cost per patient vs peers
$1,599 vs $1,068 avg
+58%
Brand preference vs peers
14.2% 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
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
1.1%
Opioid Rate
117
Opioid Claims
$1,858
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 1,490 claims · $625K
Generic: 8,984 claims · $206K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 376 | $136K |
| Dulaglutide | 132 | $117K |
| Sitagliptin Phosphate | 74 | $31K |
| Semaglutide | 14 | $23K |
| Sitagliptin Phos/Metformin Hcl | 47 | $21K |
| Empagliflozin/Metformin Hcl | 25 | $17K |
| Empagliflozin | 21 | $17K |
| Insulin Glargine,hum.Rec.Anlog | 51 | $17K |
| Sitagliptin Phos/Metformin Hcl | 24 | $14K |
| Fluticasone/Umeclidin/Vilanter | 20 | $14K |
| Icosapent Ethyl | 36 | $14K |
| Insulin Degludec | 17 | $13K |
| Linagliptin/Metformin Hcl | 11 | $12K |
| Insulin Degludec | 15 | $10K |
| Umeclidinium Brm/Vilanterol Tr | 19 | $9,448 |
Prescribing Profile
Patient Profile
75
Avg Age
60%
Female
1.68
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