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
26,869
Total Claims
$1.7M
Drug Cost
937
Beneficiaries
$1,846
Cost/Patient
Risk Score Breakdown 24/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
-8%
Opioid rate vs peers
2.1% vs 2.2% avg
+31%
Cost per patient vs peers
$1,846 vs $1,411 avg
+7%
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
2.1%
Opioid Rate
553
Opioid Claims
$24K
Opioid Cost
4.5%
Long-Acting Rate
Brand vs Generic
Brand: 3,032 claims · $1.3M
Generic: 23,553 claims · $415K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Rivaroxaban | 174 | $127K |
| Apixaban | 205 | $126K |
| Empagliflozin | 112 | $97K |
| Insulin Degludec | 87 | $90K |
| Mirabegron | 203 | $69K |
| Evolocumab | 61 | $44K |
| Insulin Aspart | 64 | $42K |
| Insulin Glargine,hum.Rec.Anlog | 38 | $38K |
| Insulin Degludec | 52 | $37K |
| Semaglutide | 34 | $36K |
| Insulin Glargine,hum.Rec.Anlog | 36 | $36K |
| Budesonide/Formoterol Fumarate | 72 | $35K |
| Insulin Detemir | 49 | $30K |
| Insulin Detemir | 25 | $24K |
| Tirzepatide | 21 | $23K |
Prescribing Profile
Patient Profile
76
Avg Age
50%
Female
1.19
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