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
10,727
Total Claims
$880K
Drug Cost
460
Beneficiaries
$1,912
Cost/Patient
Risk Score Breakdown 24/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,389 General Practice providers
-54%
Opioid rate vs peers
1.1% vs 2.5% avg
+70%
Cost per patient vs peers
$1,912 vs $1,128 avg
+70%
Brand preference vs peers
14.3% vs 8.4% 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
123
Opioid Claims
$946
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 1,497 claims · $701K
Generic: 8,947 claims · $170K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Insulin Glargine,hum.Rec.Anlog | 106 | $62K |
| Linagliptin/Metformin Hcl | 40 | $53K |
| Empaglifloz/Linaglip/Metformin | 56 | $46K |
| Empagliflozin | 54 | $44K |
| Apixaban | 36 | $37K |
| Rivaroxaban | 35 | $33K |
| Empagliflozin/Metformin Hcl | 42 | $31K |
| Linagliptin/Metformin Hcl | 33 | $31K |
| Sitagliptin Phosphate | 19 | $29K |
| Insulin Lispro | 47 | $28K |
| Insulin Nph Human Isophane | 76 | $27K |
| Empagliflozin/Metformin Hcl | 21 | $26K |
| Sitagliptin Phos/Metformin Hcl | 23 | $26K |
| Sitagliptin Phos/Metformin Hcl | 24 | $26K |
| Insulin Nph Hum/Reg Insulin Hm | 60 | $25K |
Prescribing Profile
Patient Profile
70
Avg Age
56%
Female
1.53
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