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: 85%
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
832
Total Claims
$459K
Drug Cost
96
Beneficiaries
$4,781
Cost/Patient
Risk Score Breakdown 11/100
Score components are additive. Read full methodology
Peer Comparison vs. 5,387 Infectious Disease providers
-40%
Cost per patient vs peers
$4,781 vs $8,010 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
3.8%
Opioid Rate
32
Opioid Claims
$366
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 0 claims · $0
Generic: 619 claims · $20K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Bictegrav/Emtricit/Tenofov Ala | 32 | $130K |
| Abacavir/Dolutegravir/Lamivudi | 16 | $59K |
| Dolutegravir Sodium | 24 | $52K |
| Dolutegravir Sodium/Lamivudine | 15 | $43K |
| Darunavir | 11 | $19K |
| Semaglutide | 14 | $14K |
| Albuterol Sulfate | 17 | $436 |
| Pravastatin Sodium | 20 | $383 |
| Gabapentin | 48 | $330 |
| Fluticasone Propionate | 19 | $304 |
| Lisinopril/Hydrochlorothiazide | 18 | $197 |
| Rosuvastatin Calcium | 15 | $173 |
| Amlodipine Besylate | 22 | $168 |
| Hydrocodone/Acetaminophen | 13 | $152 |
| Zolpidem Tartrate | 28 | $121 |
Prescribing Profile
Patient Profile
58
Avg Age
55%
Female
1.57
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