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: 87%
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
1,051
Total Claims
$178K
Drug Cost
95
Beneficiaries
$1,875
Cost/Patient
Risk Score Breakdown 8/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
-11%
Opioid rate vs peers
2.3% vs 2.6% avg
+76%
Cost per patient vs peers
$1,875 vs $1,068 avg
+43%
Brand preference vs peers
12.9% 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
2.3%
Opioid Rate
24
Opioid Claims
$421
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 134 claims · $149K
Generic: 904 claims · $29K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Dulaglutide | 23 | $59K |
| Metoprolol Succinate | 40 | $1,184 |
| Atorvastatin Calcium | 50 | $1,172 |
| Gabapentin | 12 | $1,161 |
| Telmisartan | 17 | $909 |
| Tamsulosin Hcl | 19 | $870 |
| Levothyroxine Sodium | 49 | $839 |
| Albuterol Sulfate | 17 | $723 |
| Metformin Hcl | 32 | $642 |
| Amlodipine Besylate | 49 | $568 |
| Famotidine | 31 | $530 |
| Pravastatin Sodium | 27 | $492 |
| Lisinopril | 36 | $434 |
| Lisinopril/Hydrochlorothiazide | 13 | $424 |
| Simvastatin | 26 | $333 |
Prescribing Profile
Patient Profile
72
Avg Age
70%
Female
1.02
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