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: Very High
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
3,273
Total Claims
$270K
Drug Cost
189
Beneficiaries
$1,429
Cost/Patient
Risk Score Breakdown 8/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
-63%
Opioid rate vs peers
0.8% vs 2.2% avg
+1%
Cost per patient vs peers
$1,429 vs $1,411 avg
+31%
Brand preference vs peers
13.9% vs 10.6% 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
0.8%
Opioid Rate
27
Opioid Claims
$337
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 447 claims · $222K
Generic: 2,765 claims · $47K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Dulaglutide | 50 | $67K |
| Apixaban | 52 | $46K |
| Empagliflozin | 33 | $26K |
| Budesonide/Formoterol Fumarate | 29 | $11K |
| Sitagliptin Phosphate | 18 | $11K |
| Fluticasone Propionate | 15 | $8,068 |
| Umeclidinium Bromide | 18 | $8,031 |
| Fluticasone Propion/Salmeterol | 16 | $7,376 |
| Ipratropium Bromide | 12 | $5,950 |
| Insulin Glargine,hum.Rec.Anlog | 13 | $4,982 |
| Atorvastatin Calcium | 277 | $4,283 |
| Albuterol Sulfate | 91 | $3,887 |
| Fluticasone Propionate | 179 | $2,879 |
| Mirtazapine | 89 | $2,272 |
| Albuterol Sulfate | 26 | $2,232 |
Prescribing Profile
Patient Profile
71
Avg Age
60%
Female
1.24
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