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
9,074
Total Claims
$724K
Drug Cost
617
Beneficiaries
$1,174
Cost/Patient
Risk Score Breakdown 21/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+203%
Opioid rate vs peers
7.8% vs 2.6% avg
+10%
Cost per patient vs peers
$1,174 vs $1,068 avg
-11%
Brand preference vs peers
8.1% vs 9.0% 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 203% above Family Practice 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
7.8%
Opioid Rate
710
Opioid Claims
$93K
Opioid Cost
6.1%
Long-Acting Rate
Brand vs Generic
Brand: 727 claims · $438K
Generic: 8,304 claims · $284K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 95 | $95K |
| Oxycodone Hcl/Acetaminophen | 11 | $61K |
| Sitagliptin Phosphate | 29 | $41K |
| Semaglutide | 19 | $27K |
| Rivaroxaban | 13 | $25K |
| Tiotropium Bromide | 20 | $19K |
| Insulin Glargine,hum.Rec.Anlog | 13 | $16K |
| Hydrocodone/Acetaminophen | 476 | $16K |
| Insulin Glargine,hum.Rec.Anlog | 32 | $14K |
| Mirabegron | 12 | $12K |
| Fluticasone/Umeclidin/Vilanter | 17 | $12K |
| Linaclotide | 13 | $12K |
| Fluticasone Propion/Salmeterol | 17 | $11K |
| Oxycodone Hcl | 15 | $11K |
| Atorvastatin Calcium | 634 | $8,426 |
Prescribing Profile
Patient Profile
75
Avg Age
60%
Female
1.26
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