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
11,147
Total Claims
$987K
Drug Cost
1,042
Beneficiaries
$947
Cost/Patient
Risk Score Breakdown 9/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
-68%
Opioid rate vs peers
0.8% vs 2.6% avg
-11%
Cost per patient vs peers
$947 vs $1,068 avg
+21%
Brand preference vs peers
10.9% 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
0.8%
Opioid Rate
92
Opioid Claims
$1,681
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 1,204 claims · $773K
Generic: 9,876 claims · $210K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 176 | $195K |
| Empagliflozin | 94 | $108K |
| Rivaroxaban | 64 | $69K |
| Dulaglutide | 37 | $51K |
| Sitagliptin Phosphate | 20 | $28K |
| Fluticasone/Umeclidin/Vilanter | 36 | $24K |
| Insulin Glargine,hum.Rec.Anlog | 41 | $21K |
| Semaglutide | 12 | $18K |
| Fluticasone/Vilanterol | 22 | $16K |
| Atorvastatin Calcium | 826 | $12K |
| Fluticasone Propion/Salmeterol | 25 | $12K |
| Budesonide/Formoterol Fumarate | 19 | $12K |
| Insulin Glargine,hum.Rec.Anlog | 13 | $12K |
| Tiotropium Bromide | 14 | $12K |
| Fluticasone Propion/Salmeterol | 27 | $10K |
Prescribing Profile
Patient Profile
76
Avg Age
58%
Female
1.21
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