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: 92%
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
14,110
Total Claims
$1.5M
Drug Cost
632
Beneficiaries
$2,329
Cost/Patient
Risk Score Breakdown 24/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
-37%
Opioid rate vs peers
1.4% vs 2.2% avg
+65%
Cost per patient vs peers
$2,329 vs $1,411 avg
+19%
Brand preference vs peers
12.6% 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
1.4%
Opioid Rate
200
Opioid Claims
$3,263
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 1,759 claims · $1.3M
Generic: 12,195 claims · $210K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Empagliflozin | 138 | $165K |
| Apixaban | 107 | $114K |
| Semaglutide | 77 | $91K |
| Sitagliptin Phosphate | 63 | $73K |
| Dulaglutide | 33 | $63K |
| Insulin Glargine,hum.Rec.Anlog | 68 | $57K |
| Rivaroxaban | 45 | $47K |
| Sacubitril/Valsartan | 25 | $34K |
| Insulin Glargine,hum.Rec.Anlog | 28 | $33K |
| Dapagliflozin Propanediol | 31 | $28K |
| Insulin Aspart | 35 | $27K |
| Insulin Degludec | 33 | $25K |
| Insulin Detemir | 16 | $24K |
| Fluticasone/Umeclidin/Vilanter | 31 | $23K |
| Tirzepatide | 19 | $22K |
Prescribing Profile
Patient Profile
75
Avg Age
52%
Female
1.12
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