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
38,200
Total Claims
$4.4M
Drug Cost
1,322
Beneficiaries
$3,291
Cost/Patient
Risk Score Breakdown 24/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+407%
Opioid rate vs peers
11.3% vs 2.2% avg
+133%
Cost per patient vs peers
$3,291 vs $1,411 avg
+6%
Brand preference vs peers
11.3% 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
Opioid rate is 407% above Internal Medicine peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
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
11.3%
Opioid Rate
4,333
Opioid Claims
$82K
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 4,271 claims · $3.6M
Generic: 33,561 claims · $751K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Empagliflozin | 221 | $317K |
| Semaglutide | 177 | $256K |
| Apixaban | 186 | $219K |
| Linaclotide | 194 | $202K |
| Fluticasone/Umeclidin/Vilanter | 159 | $153K |
| Tirzepatide | 112 | $144K |
| Dulaglutide | 73 | $137K |
| Rivaroxaban | 102 | $127K |
| Adalimumab | 13 | $105K |
| Insulin Aspart Prot/Insuln Asp | 48 | $103K |
| Sitagliptin Phosphate | 70 | $98K |
| Sacubitril/Valsartan | 55 | $90K |
| Linagliptin | 80 | $84K |
| Budesonide/Formoterol Fumarate | 127 | $84K |
| Insulin Glargine,hum.Rec.Anlog | 116 | $77K |
Prescribing Profile
Patient Profile
68
Avg Age
64%
Female
1.93
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