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: 86%
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
5,613
Total Claims
$452K
Drug Cost
493
Beneficiaries
$917
Cost/Patient
Risk Score Breakdown 9/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+22%
Opioid rate vs peers
2.7% vs 2.2% avg
-35%
Cost per patient vs peers
$917 vs $1,411 avg
-3%
Brand preference vs peers
10.3% 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
2.7%
Opioid Rate
153
Opioid Claims
$2,665
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 572 claims · $356K
Generic: 4,997 claims · $95K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Semaglutide | 43 | $61K |
| Semaglutide | 15 | $37K |
| Empagliflozin | 22 | $30K |
| Dulaglutide | 18 | $27K |
| Sitagliptin Phosphate | 23 | $22K |
| Fluticasone/Umeclidin/Vilanter | 16 | $22K |
| Apixaban | 15 | $19K |
| Rsvpref3 Antigen/As01e/Pf | 32 | $10K |
| Fluticasone/Vilanterol | 20 | $10K |
| Insulin Glargine,hum.Rec.Anlog | 17 | $8,009 |
| Budesonide/Formoterol Fumarate | 17 | $7,087 |
| Rsv Vacc, Pref A And Pref B/Pf | 21 | $6,827 |
| Umeclidinium Bromide | 15 | $5,737 |
| Carbamazepine | 15 | $5,420 |
| Atorvastatin Calcium | 416 | $4,518 |
Prescribing Profile
Patient Profile
72
Avg Age
51%
Female
1.27
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