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
745
Total Claims
$930K
Drug Cost
146
Beneficiaries
$6,367
Cost/Patient
Risk Score Breakdown 11/100
Score components are additive. Read full methodology
Peer Comparison vs. 875 Gynecological Oncology providers
+132%
Opioid rate vs peers
28.5% vs 12.3% avg
+117%
Cost per patient vs peers
$6,367 vs $2,939 avg
-14%
Brand preference vs peers
9.7% vs 11.2% 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
28.5%
Opioid Rate
212
Opioid Claims
$1,798
Opioid Cost
6.1%
Long-Acting Rate
This provider's opioid prescribing rate of 28.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 72 claims · $877K
Generic: 673 claims · $53K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Olaparib | 34 | $464K |
| Lenvatinib Mesylate | 13 | $306K |
| Ondansetron Hcl | 64 | $3,012 |
| Estradiol | 12 | $1,191 |
| Enoxaparin Sodium | 11 | $1,161 |
| Hydrocodone/Acetaminophen | 48 | $704 |
| Oxycodone Hcl | 117 | $666 |
| Prochlorperazine Maleate | 47 | $659 |
| Celecoxib | 39 | $656 |
| Megestrol Acetate | 14 | $606 |
| Duloxetine Hcl | 14 | $591 |
| Gabapentin | 61 | $577 |
| Morphine Sulfate | 13 | $270 |
| Ondansetron | 16 | $253 |
| Ibuprofen | 36 | $194 |
Prescribing Profile
19
Unique Drugs
11.0
Anomaly Score
Patient Profile
70
Avg Age
—
Female
1.72
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