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
18,694
Total Claims
$1.0M
Drug Cost
523
Beneficiaries
$2,003
Cost/Patient
Risk Score Breakdown 26/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+31%
Opioid rate vs peers
2.9% vs 2.2% avg
+42%
Cost per patient vs peers
$2,003 vs $1,411 avg
+12%
Brand preference vs peers
11.9% 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
2.9%
Opioid Rate
547
Opioid Claims
$15K
Opioid Cost
3.7%
Long-Acting Rate
Brand vs Generic
Brand: 2,217 claims · $678K
Generic: 16,391 claims · $366K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 947 | $298K |
| Empagliflozin | 101 | $32K |
| Rifaximin | 21 | $31K |
| Mirabegron | 75 | $20K |
| Rivaroxaban | 42 | $16K |
| Fluticasone/Vilanterol | 36 | $15K |
| Collagenase Clostridium Hist. | 20 | $14K |
| Memantine Hcl | 207 | $13K |
| Cyclosporine | 29 | $12K |
| Sacubitril/Valsartan | 51 | $12K |
| Atorvastatin Calcium | 718 | $12K |
| Budesonide/Formoterol Fumarate | 29 | $11K |
| Insulin Lispro | 26 | $11K |
| Insulin Degludec | 25 | $11K |
| Dronedarone Hcl | 27 | $11K |
Prescribing Profile
Patient Profile
85
Avg Age
71%
Female
2.34
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