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 →🤖 ML Fraud Detection Score: 83%
Machine learning model identifies prescribing patterns consistent with confirmed fraud cases. This is a statistical indicator, not an accusation.
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
1,004
Total Claims
$179K
Drug Cost
353
Beneficiaries
$507
Cost/Patient
Risk Score Breakdown 8/100
Score components are additive. Read full methodology
Peer Comparison vs. 22,639 Obstetrics & Gynecology providers
+296%
Opioid rate vs peers
5.1% vs 1.3% avg
+35%
Cost per patient vs peers
$507 vs $376 avg
+76%
Brand preference vs peers
21.2% vs 12.1% 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.
Opioid Prescribing
5.1%
Opioid Rate
51
Opioid Claims
$188
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 213 claims · $130K
Generic: 791 claims · $49K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Mirabegron | 118 | $90K |
| Estradiol | 337 | $34K |
| Estrogens, Conjugated | 25 | $12K |
| Ospemifene | 21 | $8,189 |
| Estradiol | 43 | $7,977 |
| Nitrofurantoin Monohyd/M-Cryst | 66 | $1,798 |
| Oxybutynin Chloride | 12 | $962 |
| Valacyclovir Hcl | 14 | $575 |
| Gabapentin | 19 | $257 |
| Fluconazole | 22 | $225 |
| Hydrocodone/Acetaminophen | 50 | $178 |
| Sulfamethoxazole/Trimethoprim | 26 | $143 |
| Triamcinolone Acetonide | 24 | $121 |
| Nystatin | 11 | $96 |
| Metronidazole | 12 | $80 |
Prescribing Profile
16
Unique Drugs
8.0
Anomaly Score
Patient Profile
72
Avg Age
100%
Female
1.07
Avg Risk Score
Explore More
Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About