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: 90%
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
3,121
Total Claims
$296K
Drug Cost
290
Beneficiaries
$1,022
Cost/Patient
Risk Score Breakdown 14/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
-53%
Opioid rate vs peers
1.2% vs 2.6% avg
-4%
Cost per patient vs peers
$1,022 vs $1,068 avg
+40%
Brand preference vs peers
12.6% 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
1.2%
Opioid Rate
38
Opioid Claims
$699
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 390 claims · $243K
Generic: 2,703 claims · $52K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Dulaglutide | 28 | $70K |
| Empagliflozin | 24 | $32K |
| Quetiapine Fumarate | 14 | $18K |
| Tirzepatide | 17 | $17K |
| Canagliflozin | 15 | $14K |
| Apixaban | 11 | $12K |
| Levothyroxine Sodium | 138 | $2,501 |
| Atorvastatin Calcium | 210 | $2,493 |
| Duloxetine Hcl | 34 | $1,944 |
| Rosuvastatin Calcium | 93 | $1,645 |
| Gabapentin | 47 | $1,266 |
| Dextroamphetamine/Amphetamine | 36 | $1,209 |
| Albuterol Sulfate | 30 | $1,006 |
| Montelukast Sodium | 60 | $940 |
| Losartan Potassium | 89 | $929 |
Prescribing Profile
Patient Profile
73
Avg Age
46%
Female
1.19
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