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
9,899
Total Claims
$914K
Drug Cost
340
Beneficiaries
$2,687
Cost/Patient
Risk Score Breakdown 24/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+38%
Opioid rate vs peers
3.6% vs 2.6% avg
+152%
Cost per patient vs peers
$2,687 vs $1,068 avg
+81%
Brand preference vs peers
16.3% 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
3.6%
Opioid Rate
353
Opioid Claims
$6,100
Opioid Cost
4.2%
Long-Acting Rate
Brand vs Generic
Brand: 1,600 claims · $618K
Generic: 8,241 claims · $291K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Pimavanserin Tartrate | 30 | $98K |
| Apixaban | 347 | $94K |
| Glatiramer Acetate | 14 | $66K |
| Rifaximin | 41 | $55K |
| Empagliflozin | 43 | $23K |
| Mesalamine | 24 | $23K |
| Sitagliptin Phosphate | 71 | $23K |
| Risperidone Microspheres | 28 | $23K |
| Rivaroxaban | 76 | $22K |
| Dulaglutide | 26 | $22K |
| Fluticasone/Umeclidin/Vilanter | 25 | $16K |
| Sodium Zirconium Cyclosilicate | 11 | $14K |
| Liraglutide | 28 | $11K |
| Insulin Glargine,hum.Rec.Anlog | 60 | $11K |
| Semaglutide | 11 | $11K |
Prescribing Profile
Patient Profile
78
Avg Age
66%
Female
2.37
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