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: 93%
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
664
Total Claims
$12K
Drug Cost
25
Beneficiaries
$478
Cost/Patient
Risk Score Breakdown 41/100
Score components are additive. Read full methodology
Peer Comparison vs. 22,639 Obstetrics & Gynecology providers
+2755%
Opioid rate vs peers
36.6% vs 1.3% avg
+27%
Cost per patient vs peers
$478 vs $376 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
⚠️ 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
36.6%
Opioid Rate
243
Opioid Claims
$7,784
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 36.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 664 claims · $12K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Hydrocodone/Acetaminophen | 130 | $3,612 |
| Oxycodone Hcl/Acetaminophen | 98 | $3,344 |
| Oxycodone Hcl | 14 | $827 |
| Gabapentin | 50 | $739 |
| Amitriptyline Hcl | 25 | $376 |
| Duloxetine Hcl | 36 | $323 |
| Butalb/Acetaminophen/Caffeine | 13 | $305 |
| Tizanidine Hcl | 46 | $229 |
| Ibuprofen | 28 | $182 |
| Diazepam | 26 | $130 |
| Alprazolam | 26 | $124 |
| Clonazepam | 13 | $105 |
| Meloxicam | 44 | $99 |
| Pregabalin | 11 | $92 |
| Sertraline Hcl | 11 | $72 |
Prescribing Profile
17
Unique Drugs
41.0
Anomaly Score
Patient Profile
66
Avg Age
48%
Female
1.27
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