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: 95%
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
753
Total Claims
$106K
Drug Cost
54
Beneficiaries
$1,967
Cost/Patient
Risk Score Breakdown 18/100
Score components are additive. Read full methodology
Peer Comparison vs. 21,141 Psychiatry providers
+16%
Cost per patient vs peers
$1,967 vs $1,696 avg
+72%
Brand preference vs peers
8.5% vs 5.0% 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.
Brand vs Generic
Brand: 64 claims · $79K
Generic: 689 claims · $27K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Naltrexone Microspheres | 21 | $35K |
| Clozapine | 108 | $7,304 |
| Buprenorphine Hcl/Naloxone Hcl | 31 | $3,284 |
| Naltrexone Hcl | 23 | $1,472 |
| Quetiapine Fumarate | 28 | $1,025 |
| Duloxetine Hcl | 17 | $865 |
| Fluoxetine Hcl | 37 | $798 |
| Venlafaxine Hcl | 40 | $793 |
| Buspirone Hcl | 14 | $713 |
| Escitalopram Oxalate | 28 | $462 |
| Trazodone Hcl | 47 | $432 |
| Aripiprazole | 14 | $376 |
| Lamotrigine | 36 | $346 |
| Gabapentin | 24 | $315 |
| Bupropion Hcl | 12 | $252 |
Prescribing Profile
22
Unique Drugs
18.0
Anomaly Score
Patient Profile
57
Avg Age
65%
Female
1.29
Avg Risk Score
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Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About