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
10,343
Total Claims
$716K
Drug Cost
548
Beneficiaries
$1,307
Cost/Patient
Risk Score Breakdown 13/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
-82%
Opioid rate vs peers
0.4% vs 2.2% avg
-7%
Cost per patient vs peers
$1,307 vs $1,411 avg
+30%
Brand preference vs peers
13.9% 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
0.4%
Opioid Rate
42
Opioid Claims
$236
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 1,425 claims · $573K
Generic: 8,850 claims · $142K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 160 | $110K |
| Budesonide/Formoterol Fumarate | 82 | $38K |
| Saxagliptin Hcl | 71 | $36K |
| Rivaroxaban | 51 | $31K |
| Linaclotide | 36 | $30K |
| Sitagliptin Phosphate | 45 | $29K |
| Sitagliptin Phos/Metformin Hcl | 29 | $26K |
| Linagliptin | 41 | $24K |
| Dulaglutide | 14 | $16K |
| Empagliflozin | 16 | $15K |
| Mirabegron | 26 | $15K |
| Insulin Aspart | 25 | $15K |
| Cyclosporine | 21 | $15K |
| Insulin Aspart | 21 | $14K |
| Fluticasone Propion/Salmeterol | 103 | $12K |
Prescribing Profile
Patient Profile
79
Avg Age
60%
Female
2.22
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