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
43,108
Total Claims
$10.7M
Drug Cost
30,869
Beneficiaries
$346
Cost/Patient
Risk Score Breakdown 18/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
-86%
Opioid rate vs peers
0.4% vs 2.6% avg
-68%
Cost per patient vs peers
$346 vs $1,068 avg
+970%
Brand preference vs peers
96.3% vs 9.0% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
⚠️ 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
0.4%
Opioid Rate
159
Opioid Claims
$4,083
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 41,486 claims · $10.7M
Generic: 1,610 claims · $26K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Rsvpref3 Antigen/As01e/Pf | 15,403 | $4.9M |
| Varicella-Zoster Ge/As01b/Pf | 16,389 | $3.5M |
| Rsv Vacc, Pref A And Pref B/Pf | 5,276 | $1.7M |
| Diphth,pertuss(Acell),tet Vac | 2,791 | $183K |
| Hepatitis A And B Vaccine/Pf | 765 | $112K |
| Semaglutide | 73 | $78K |
| Diph,pertuss(Acell),tet Vac/Pf | 452 | $31K |
| Empagliflozin | 14 | $10K |
| Hepatitis A Virus Vaccine/Pf | 97 | $9,992 |
| Hpv Vaccine 9-Valent/Pf | 19 | $5,884 |
| Gabapentin | 98 | $1,975 |
| Hydrocodone/Acetaminophen | 87 | $1,825 |
| Naloxone Hcl | 19 | $1,562 |
| Hepatitis A Virus Vaccine/Pf | 12 | $1,183 |
| Levalbuterol Tartrate | 16 | $1,166 |
Prescribing Profile
Patient Profile
73
Avg Age
58%
Female
1.07
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