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
2,576
Total Claims
$299K
Drug Cost
247
Beneficiaries
$1,209
Cost/Patient
Risk Score Breakdown 22/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+47%
Opioid rate vs peers
3.3% vs 2.2% avg
-14%
Cost per patient vs peers
$1,209 vs $1,411 avg
+9%
Brand preference vs peers
11.6% 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.
Opioid Prescribing
3.3%
Opioid Rate
85
Opioid Claims
$4,047
Opioid Cost
23.5%
Long-Acting Rate
Brand vs Generic
Brand: 297 claims · $213K
Generic: 2,262 claims · $84K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Semaglutide | 22 | $36K |
| Apixaban | 30 | $32K |
| Empagliflozin | 19 | $29K |
| Insulin Glargine,hum.Rec.Anlog | 19 | $17K |
| Mirabegron | 24 | $12K |
| Edoxaban Tosylate | 13 | $5,030 |
| Atorvastatin Calcium | 241 | $4,897 |
| Testosterone | 11 | $4,087 |
| Fluticasone Propionate | 11 | $3,793 |
| Ritonavir | 15 | $3,334 |
| Oxycodone Hcl/Acetaminophen | 30 | $3,299 |
| Rosuvastatin Calcium | 78 | $3,059 |
| Omeprazole | 113 | $2,113 |
| Levothyroxine Sodium | 17 | $2,009 |
| Estradiol | 13 | $1,841 |
Prescribing Profile
Patient Profile
74
Avg Age
56%
Female
1.21
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