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
27,980
Total Claims
$2.2M
Drug Cost
847
Beneficiaries
$2,626
Cost/Patient
Risk Score Breakdown 26/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
-86%
Opioid rate vs peers
0.3% vs 2.2% avg
+86%
Cost per patient vs peers
$2,626 vs $1,411 avg
+62%
Brand preference vs peers
17.2% 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
0.3%
Opioid Rate
86
Opioid Claims
$2,331
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 4,804 claims · $1.5M
Generic: 23,063 claims · $725K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 1,387 | $387K |
| Rifaximin | 116 | $137K |
| Paliperidone Palmitate | 19 | $52K |
| Empagliflozin | 140 | $39K |
| Rivaroxaban | 138 | $37K |
| Pimavanserin Tartrate | 13 | $30K |
| Dimethyl Fumarate | 12 | $30K |
| Insulin Glargine,hum.Rec.Anlog | 85 | $27K |
| Patiromer Calcium Sorbitex | 34 | $27K |
| Linagliptin | 99 | $26K |
| Potassium Chloride | 431 | $23K |
| Sacubitril/Valsartan | 80 | $23K |
| Fluticasone/Vilanterol | 57 | $23K |
| Sevelamer Carbonate | 88 | $22K |
| Sitagliptin Phosphate | 78 | $22K |
Prescribing Profile
Patient Profile
79
Avg Age
60%
Female
3.17
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