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
3,107
Total Claims
$301K
Drug Cost
358
Beneficiaries
$842
Cost/Patient
Risk Score Breakdown 8/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+48%
Opioid rate vs peers
3.3% vs 2.2% avg
-40%
Cost per patient vs peers
$842 vs $1,411 avg
+17%
Brand preference vs peers
12.5% vs 10.6% 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
3.3%
Opioid Rate
103
Opioid Claims
$1,204
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 386 claims · $240K
Generic: 2,705 claims · $61K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 60 | $53K |
| Rivaroxaban | 27 | $27K |
| Fluticasone/Vilanterol | 45 | $21K |
| Sitagliptin Phosphate | 13 | $20K |
| Tiotropium Bromide | 28 | $16K |
| Empagliflozin | 13 | $14K |
| Insulin Glargine,hum.Rec.Anlog | 15 | $8,023 |
| Budesonide/Formoterol Fumarate | 15 | $6,186 |
| Atorvastatin Calcium | 231 | $3,158 |
| Midodrine Hcl | 13 | $2,738 |
| Ezetimibe | 27 | $2,272 |
| Pantoprazole Sodium | 110 | $1,831 |
| Baclofen | 35 | $1,643 |
| Levothyroxine Sodium | 103 | $1,554 |
| Albuterol Sulfate | 44 | $1,546 |
Prescribing Profile
Patient Profile
73
Avg Age
60%
Female
2.34
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