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: 89%
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
2,622
Total Claims
$180K
Drug Cost
330
Beneficiaries
$547
Cost/Patient
Risk Score Breakdown 8/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+28%
Opioid rate vs peers
2.9% vs 2.2% avg
-61%
Cost per patient vs peers
$547 vs $1,411 avg
-6%
Brand preference vs peers
9.9% 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
2.9%
Opioid Rate
75
Opioid Claims
$543
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 259 claims · $127K
Generic: 2,345 claims · $52K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Insulin Glargine,hum.Rec.Anlog | 11 | $8,688 |
| Levothyroxine Sodium | 185 | $3,344 |
| Levothyroxine Sodium | 29 | $3,259 |
| Estradiol | 19 | $2,066 |
| Atorvastatin Calcium | 162 | $1,816 |
| Rosuvastatin Calcium | 60 | $1,639 |
| Albuterol Sulfate | 31 | $1,299 |
| Amlodipine Besylate | 105 | $1,270 |
| Gabapentin | 48 | $1,245 |
| Bupropion Hcl | 29 | $1,220 |
| Losartan Potassium | 95 | $1,094 |
| Fluticasone Propionate | 34 | $1,087 |
| Escitalopram Oxalate | 59 | $1,057 |
| Lisinopril | 91 | $902 |
| Fluoxetine Hcl | 18 | $859 |
Prescribing Profile
53
Unique Drugs
8.0
Anomaly Score
Patient Profile
74
Avg Age
77%
Female
1.00
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