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
25,173
Total Claims
$845K
Drug Cost
732
Beneficiaries
$1,155
Cost/Patient
Risk Score Breakdown 26/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,389 General Practice providers
-94%
Opioid rate vs peers
0.1% vs 2.5% avg
+2%
Cost per patient vs peers
$1,155 vs $1,128 avg
-23%
Brand preference vs peers
6.5% vs 8.4% 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
0.1%
Opioid Rate
35
Opioid Claims
$193
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 1,619 claims · $465K
Generic: 23,374 claims · $374K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 106 | $56K |
| Linagliptin | 93 | $47K |
| Rivaroxaban | 84 | $45K |
| Sacubitril/Valsartan | 67 | $42K |
| Sitagliptin Phosphate | 51 | $29K |
| Empagliflozin | 42 | $24K |
| Dabigatran Etexilate Mesylate | 89 | $22K |
| Omega-3 Acid Ethyl Esters | 807 | $18K |
| Clobetasol Propionate | 242 | $18K |
| Fluticasone/Umeclidin/Vilanter | 29 | $18K |
| Insulin Glargine-Yfgn | 135 | $17K |
| Levothyroxine Sodium | 829 | $14K |
| Dapagliflozin Propanediol | 21 | $13K |
| Metformin Hcl | 15 | $12K |
| Fluticasone Propion/Salmeterol | 53 | $12K |
Prescribing Profile
Patient Profile
75
Avg Age
64%
Female
2.04
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