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: 98%
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
362
Total Claims
$1,974
Drug Cost
130
Beneficiaries
$15
Cost/Patient
Risk Score Breakdown 11/100
Score components are additive. Read full methodology
Peer Comparison vs. 70,845 Dentist providers
+304%
Opioid rate vs peers
22.9% vs 5.7% 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
22.9%
Opioid Rate
83
Opioid Claims
$208
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 22.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 352 claims · $1,792
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Naproxen | 79 | $431 |
| Amoxicillin | 114 | $396 |
| Methylprednisolone | 18 | $191 |
| Tramadol Hcl | 76 | $172 |
| Azithromycin | 21 | $95 |
| Triazolam | 23 | $45 |
Prescribing Profile
6
Unique Drugs
11.0
Anomaly Score
Patient Profile
73
Avg Age
64%
Female
0.77
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