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: 86%
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
5,328
Total Claims
$417K
Drug Cost
626
Beneficiaries
$667
Cost/Patient
Risk Score Breakdown 9/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
-47%
Opioid rate vs peers
2.0% vs 3.8% avg
-43%
Cost per patient vs peers
$667 vs $1,174 avg
+19%
Brand preference vs peers
10.5% vs 8.9% 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
2.0%
Opioid Rate
107
Opioid Claims
$971
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 559 claims · $336K
Generic: 4,755 claims · $80K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 39 | $38K |
| Semaglutide | 20 | $30K |
| Empagliflozin | 28 | $30K |
| Fluticasone/Umeclidin/Vilanter | 27 | $23K |
| Semaglutide | 22 | $23K |
| Dulaglutide | 11 | $20K |
| Linaclotide | 26 | $18K |
| Sitagliptin Phosphate | 15 | $14K |
| Insulin Detemir | 19 | $14K |
| Rivaroxaban | 11 | $13K |
| Dexlansoprazole | 11 | $3,511 |
| Albuterol Sulfate | 74 | $2,917 |
| Metoprolol Succinate | 155 | $2,483 |
| Atorvastatin Calcium | 135 | $2,070 |
| Pregabalin | 33 | $1,873 |
Prescribing Profile
Patient Profile
72
Avg Age
52%
Female
0.95
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