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
21,889
Total Claims
$3.3M
Drug Cost
1,224
Beneficiaries
$2,683
Cost/Patient
Risk Score Breakdown 21/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+30%
Opioid rate vs peers
2.9% vs 2.2% avg
+90%
Cost per patient vs peers
$2,683 vs $1,411 avg
+32%
Brand preference vs peers
14.0% 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
635
Opioid Claims
$15K
Opioid Cost
9.9%
Long-Acting Rate
Brand vs Generic
Brand: 3,036 claims · $2.7M
Generic: 18,657 claims · $535K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Semaglutide | 292 | $456K |
| Dulaglutide | 117 | $187K |
| Apixaban | 132 | $133K |
| Empagliflozin | 80 | $118K |
| Tirzepatide | 68 | $111K |
| Rivaroxaban | 72 | $96K |
| Insulin Degludec | 78 | $92K |
| Fluticasone/Umeclidin/Vilanter | 62 | $84K |
| Insulin Glargine,hum.Rec.Anlog | 39 | $78K |
| Certolizumab Pegol | 13 | $76K |
| Dapagliflozin Propanediol | 65 | $76K |
| Semaglutide | 37 | $65K |
| Etanercept | 14 | $53K |
| Linaclotide | 33 | $45K |
| Rimegepant Sulfate | 34 | $38K |
Prescribing Profile
Patient Profile
72
Avg Age
57%
Female
2.09
Avg Risk Score
Explore More
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