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: 93%
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
2,257
Total Claims
$162K
Drug Cost
293
Beneficiaries
$552
Cost/Patient
Risk Score Breakdown 14/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+322%
Opioid rate vs peers
16.0% vs 3.8% avg
-53%
Cost per patient vs peers
$552 vs $1,174 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
16.0%
Opioid Rate
360
Opioid Claims
$6,668
Opioid Cost
3.9%
Long-Acting Rate
Brand vs Generic
Brand: 0 claims · $0
Generic: 1,894 claims · $53K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 71 | $24K |
| Sitagliptin Phosphate | 30 | $11K |
| Insulin Aspart | 22 | $8,258 |
| Insulin Glargine,hum.Rec.Anlog | 22 | $8,224 |
| Rivaroxaban | 24 | $6,221 |
| Insulin Glargine,hum.Rec.Anlog | 18 | $5,448 |
| Pregabalin | 126 | $5,178 |
| Ertapenem Sodium | 12 | $5,068 |
| Rsvpref3 Antigen/As01e/Pf | 13 | $3,749 |
| Mirabegron | 15 | $3,635 |
| Lacosamide | 35 | $3,176 |
| Solifenacin Succinate | 16 | $2,809 |
| Oxycodone Hcl | 181 | $2,808 |
| Duloxetine Hcl | 32 | $1,377 |
| Buspirone Hcl | 63 | $1,282 |
Prescribing Profile
Patient Profile
75
Avg Age
66%
Female
2.85
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