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: 84%
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
12,556
Total Claims
$1.8M
Drug Cost
765
Beneficiaries
$2,325
Cost/Patient
Risk Score Breakdown 21/100
Score components are additive. Read full methodology
Peer Comparison vs. 44,021 Emergency Medicine providers
-23%
Opioid rate vs peers
7.2% vs 9.4% avg
+857%
Brand preference vs peers
14.2% vs 1.5% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
⚠️ 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
7.2%
Opioid Rate
906
Opioid Claims
$11K
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 1,770 claims · $1.6M
Generic: 10,702 claims · $217K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Semaglutide | 227 | $303K |
| Fluticasone/Umeclidin/Vilanter | 248 | $222K |
| Empagliflozin | 162 | $188K |
| Sitagliptin Phosphate | 84 | $103K |
| Insulin Glargine,hum.Rec.Anlog | 90 | $97K |
| Apixaban | 74 | $91K |
| Dulaglutide | 51 | $76K |
| Dapagliflozin Propanediol | 32 | $55K |
| Rivaroxaban | 36 | $46K |
| Budesonide/Glycopyr/Formoterol | 42 | $35K |
| Linaclotide | 26 | $31K |
| Mirabegron | 24 | $26K |
| Ipratropium/Albuterol Sulfate | 18 | $19K |
| Insulin Lispro | 11 | $16K |
| Insulin Detemir | 11 | $15K |
Prescribing Profile
Patient Profile
69
Avg Age
61%
Female
1.28
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