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
10,154
Total Claims
$937K
Drug Cost
710
Beneficiaries
$1,320
Cost/Patient
Risk Score Breakdown 15/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
-41%
Opioid rate vs peers
1.3% vs 2.2% avg
-6%
Cost per patient vs peers
$1,320 vs $1,411 avg
+8%
Brand preference vs peers
11.4% 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
1.3%
Opioid Rate
134
Opioid Claims
$2,197
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 1,150 claims · $769K
Generic: 8,900 claims · $163K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 322 | $311K |
| Rivaroxaban | 52 | $55K |
| Fluticasone/Umeclidin/Vilanter | 54 | $52K |
| Empagliflozin | 37 | $50K |
| Fluticasone/Vilanterol | 82 | $45K |
| Semaglutide | 25 | $28K |
| Insulin Nph Hum/Reg Insulin Hm | 26 | $25K |
| Sitagliptin Phosphate | 11 | $19K |
| Mirabegron | 16 | $14K |
| Insulin Nph Hum/Reg Insulin Hm | 20 | $11K |
| Insulin Glargine,hum.Rec.Anlog | 26 | $11K |
| Atorvastatin Calcium | 776 | $11K |
| Fluticasone Propion/Salmeterol | 18 | $11K |
| Budesonide/Formoterol Fumarate | 19 | $10K |
| Dronedarone Hcl | 12 | $9,919 |
Prescribing Profile
Patient Profile
77
Avg Age
48%
Female
1.17
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