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: 84%
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
8,564
Total Claims
$829K
Drug Cost
450
Beneficiaries
$1,843
Cost/Patient
Risk Score Breakdown 28/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+31%
Opioid rate vs peers
3.4% vs 2.6% avg
+73%
Cost per patient vs peers
$1,843 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
3.4%
Opioid Rate
289
Opioid Claims
$18K
Opioid Cost
25.3%
Long-Acting Rate
Brand vs Generic
Brand: 1,093 claims · $685K
Generic: 7,395 claims · $141K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Insulin Glargine,hum.Rec.Anlog | 64 | $66K |
| Apixaban | 77 | $64K |
| Dulaglutide | 48 | $60K |
| Sitagliptin Phosphate | 37 | $40K |
| Budesonide/Formoterol Fumarate | 65 | $39K |
| Semaglutide | 22 | $37K |
| Dapagliflozin Propanediol | 40 | $35K |
| Fluticasone/Umeclidin/Vilanter | 35 | $30K |
| Empagliflozin | 14 | $21K |
| Evolocumab | 15 | $20K |
| Ipratropium/Albuterol Sulfate | 38 | $20K |
| Insulin Aspart | 17 | $19K |
| Rivaroxaban | 18 | $18K |
| Insulin Detemir | 17 | $17K |
| Insulin Degludec | 16 | $16K |
Prescribing Profile
Patient Profile
71
Avg Age
59%
Female
1.36
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