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 →18
🟡 Moderate
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
26,348
Total Claims
$2.1M
Drug Cost
956
Beneficiaries
$2,169
Cost/Patient
Risk Score Breakdown 18/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
-73%
Opioid rate vs peers
0.6% vs 2.2% avg
+54%
Cost per patient vs peers
$2,169 vs $1,411 avg
+19%
Brand preference vs peers
12.6% 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
0.6%
Opioid Rate
160
Opioid Claims
$1,361
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 3,287 claims · $1.6M
Generic: 22,800 claims · $460K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Dapagliflozin Propanediol | 206 | $156K |
| Apixaban | 147 | $91K |
| Secukinumab | 12 | $86K |
| Linagliptin/Metformin Hcl | 115 | $84K |
| Insulin Glargine,hum.Rec.Anlog | 170 | $81K |
| Empagliflozin/Metformin Hcl | 123 | $81K |
| Linagliptin | 90 | $75K |
| Levothyroxine Sodium | 601 | $56K |
| Empagliflozin/Metformin Hcl | 76 | $48K |
| Ticagrelor | 87 | $45K |
| Rivaroxaban | 72 | $45K |
| Semaglutide | 47 | $44K |
| Insulin Nph Hum/Reg Insulin Hm | 125 | $44K |
| Empagliflozin | 53 | $40K |
| Insulin Lispro | 80 | $39K |
Prescribing Profile
Patient Profile
74
Avg Age
58%
Female
1.87
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