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
19,281
Total Claims
$3.8M
Drug Cost
649
Beneficiaries
$5,926
Cost/Patient
Risk Score Breakdown 16/100
Score components are additive. Read full methodology
Peer Comparison vs. 18,720 Cardiology providers
+289%
Cost per patient vs peers
$5,926 vs $1,524 avg
+26%
Brand preference vs peers
17.1% vs 13.7% 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
0.2%
Opioid Rate
45
Opioid Claims
$390
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 3,293 claims · $3.2M
Generic: 15,929 claims · $612K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Macitentan | 41 | $542K |
| Apixaban | 276 | $295K |
| Selexipag | 12 | $280K |
| Rivaroxaban | 269 | $241K |
| Icosapent Ethyl | 402 | $231K |
| Sacubitril/Valsartan | 197 | $206K |
| Semaglutide | 161 | $190K |
| Icosapent Ethyl | 301 | $150K |
| Evolocumab | 137 | $143K |
| Empagliflozin | 135 | $134K |
| Dapagliflozin Propanediol | 107 | $95K |
| Alirocumab | 98 | $79K |
| Sitagliptin Phosphate | 67 | $69K |
| Budesonide/Formoterol Fumarate | 131 | $60K |
| Tirzepatide | 44 | $53K |
Prescribing Profile
Patient Profile
74
Avg Age
61%
Female
1.78
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