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: 88%
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
3,253
Total Claims
$341K
Drug Cost
247
Beneficiaries
$1,382
Cost/Patient
Risk Score Breakdown 8/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
-57%
Opioid rate vs peers
1.1% vs 2.6% avg
+29%
Cost per patient vs peers
$1,382 vs $1,068 avg
+23%
Brand preference vs peers
11.1% vs 9.0% 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
1.1%
Opioid Rate
36
Opioid Claims
$243
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 358 claims · $285K
Generic: 2,869 claims · $56K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Semaglutide | 64 | $107K |
| Insulin Glargine,hum.Rec.Anlog | 22 | $31K |
| Apixaban | 24 | $25K |
| Fluticasone/Umeclidin/Vilanter | 16 | $15K |
| Rosuvastatin Calcium | 236 | $3,142 |
| Metoprolol Succinate | 131 | $2,882 |
| Levothyroxine Sodium | 117 | $1,830 |
| Glipizide/Metformin Hcl | 11 | $1,743 |
| Atorvastatin Calcium | 124 | $1,591 |
| Gabapentin | 43 | $1,447 |
| Albuterol Sulfate | 36 | $1,405 |
| Omeprazole | 74 | $1,368 |
| Losartan Potassium | 77 | $1,200 |
| Duloxetine Hcl | 18 | $1,148 |
| Pantoprazole Sodium | 85 | $1,035 |
Prescribing Profile
Patient Profile
71
Avg Age
52%
Female
1.38
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