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: 92%
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
5,596
Total Claims
$423K
Drug Cost
293
Beneficiaries
$1,442
Cost/Patient
Risk Score Breakdown 18/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+70%
Opioid rate vs peers
4.4% vs 2.6% avg
+35%
Cost per patient vs peers
$1,442 vs $1,068 avg
+12%
Brand preference vs peers
10.1% vs 9.0% 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.
Opioid Prescribing
4.4%
Opioid Rate
245
Opioid Claims
$18K
Opioid Cost
11.0%
Long-Acting Rate
Brand vs Generic
Brand: 561 claims · $320K
Generic: 5,007 claims · $101K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Dulaglutide | 48 | $56K |
| Insulin Glargine,hum.Rec.Anlog | 39 | $32K |
| Empagliflozin | 41 | $31K |
| Sitagliptin Phosphate | 32 | $27K |
| Apixaban | 23 | $21K |
| Insulin Glargine,hum.Rec.Anlog | 17 | $17K |
| Insulin Glargine,hum.Rec.Anlog | 21 | $13K |
| Oxycodone Hcl | 14 | $12K |
| Dapagliflozin Propanediol | 17 | $11K |
| Budesonide/Formoterol Fumarate | 23 | $11K |
| Insulin Aspart | 12 | $9,767 |
| Insulin Degludec | 11 | $7,817 |
| Gabapentin | 175 | $5,448 |
| Fluticasone Propionate | 11 | $4,978 |
| Atorvastatin Calcium | 298 | $4,740 |
Prescribing Profile
Patient Profile
72
Avg Age
50%
Female
1.28
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