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
372
Total Claims
$147K
Drug Cost
73
Beneficiaries
$2,010
Cost/Patient
Risk Score Breakdown 8/100
Score components are additive. Read full methodology
Peer Comparison vs. 875 Gynecological Oncology providers
-32%
Opioid rate vs peers
8.3% vs 12.3% avg
-32%
Cost per patient vs peers
$2,010 vs $2,939 avg
-45%
Brand preference vs peers
6.2% vs 11.2% 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
8.3%
Opioid Rate
31
Opioid Claims
$361
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 23 claims · $139K
Generic: 349 claims · $8,202
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Megestrol Acetate | 26 | $1,065 |
| Potassium Chloride | 23 | $784 |
| Duloxetine Hcl | 37 | $781 |
| Gabapentin | 36 | $583 |
| Ondansetron Hcl | 39 | $463 |
| Lidocaine/Prilocaine | 14 | $203 |
| Oxycodone Hcl | 23 | $123 |
| Ibuprofen | 11 | $95 |
| Lorazepam | 18 | $41 |
Prescribing Profile
9
Unique Drugs
8.0
Anomaly Score
Patient Profile
71
Avg Age
100%
Female
2.09
Avg Risk Score
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Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About