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
10,438
Total Claims
$514K
Drug Cost
796
Beneficiaries
$646
Cost/Patient
Risk Score Breakdown 15/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+266%
Opioid rate vs peers
8.2% vs 2.2% avg
-54%
Cost per patient vs peers
$646 vs $1,411 avg
-28%
Brand preference vs peers
7.7% 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
Opioid rate is 266% above Internal Medicine peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
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
8.2%
Opioid Rate
856
Opioid Claims
$22K
Opioid Cost
6.3%
Long-Acting Rate
Brand vs Generic
Brand: 798 claims · $311K
Generic: 9,585 claims · $200K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 93 | $85K |
| Empagliflozin | 21 | $28K |
| Sitagliptin Phosphate | 14 | $23K |
| Dulaglutide | 11 | $20K |
| Semaglutide | 13 | $19K |
| Hydrocodone/Acetaminophen | 593 | $16K |
| Pregabalin | 12 | $15K |
| Budesonide/Formoterol Fumarate | 24 | $10K |
| Fluticasone Propionate | 20 | $9,380 |
| Levothyroxine Sodium | 406 | $7,991 |
| Rivaroxaban | 13 | $7,120 |
| Gabapentin | 331 | $6,238 |
| Levothyroxine Sodium | 60 | $6,233 |
| Fluticasone Propion/Salmeterol | 13 | $4,895 |
| Atorvastatin Calcium | 419 | $4,822 |
Prescribing Profile
Patient Profile
75
Avg Age
75%
Female
1.28
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