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: 99%
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
1,508
Total Claims
$81K
Drug Cost
70
Beneficiaries
$1,161
Cost/Patient
Risk Score Breakdown 29/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+804%
Opioid rate vs peers
20.2% vs 2.2% avg
-18%
Cost per patient vs peers
$1,161 vs $1,411 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
⚠️ 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
20.2%
Opioid Rate
305
Opioid Claims
$6,809
Opioid Cost
13.1%
Long-Acting Rate
This provider's opioid prescribing rate of 20.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 1,402 claims · $33K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Insulin Glargine,hum.Rec.Anlog | 18 | $14K |
| Apixaban | 11 | $10K |
| Hydrocodone/Acetaminophen | 77 | $2,085 |
| Oxycodone Hcl | 71 | $1,873 |
| Oxycodone Hcl/Acetaminophen | 66 | $1,556 |
| Levothyroxine Sodium | 67 | $1,470 |
| Gabapentin | 21 | $1,207 |
| Potassium Chloride | 18 | $1,003 |
| Spironolactone | 16 | $966 |
| Torsemide | 20 | $760 |
| Buprenorphine Hcl | 19 | $744 |
| Ropinirole Hcl | 17 | $731 |
| Morphine Sulfate | 24 | $702 |
| Losartan Potassium | 35 | $659 |
| Atorvastatin Calcium | 48 | $595 |
Prescribing Profile
Patient Profile
72
Avg Age
60%
Female
0.94
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