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: Very High
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
20,392
Total Claims
$2.2M
Drug Cost
596
Beneficiaries
$3,619
Cost/Patient
Risk Score Breakdown 26/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
-18%
Opioid rate vs peers
1.8% vs 2.2% avg
+156%
Cost per patient vs peers
$3,619 vs $1,411 avg
+29%
Brand preference vs peers
13.7% 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
1.8%
Opioid Rate
375
Opioid Claims
$15K
Opioid Cost
9.6%
Long-Acting Rate
Brand vs Generic
Brand: 2,766 claims · $1.6M
Generic: 17,438 claims · $499K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Valbenazine Tosylate | 52 | $278K |
| Apixaban | 399 | $155K |
| Pimavanserin Tartrate | 57 | $128K |
| Empagliflozin | 154 | $80K |
| Dulaglutide | 80 | $76K |
| Cariprazine Hcl | 84 | $57K |
| Linaclotide | 93 | $51K |
| Insulin Glargine,hum.Rec.Anlog | 115 | $49K |
| Mirabegron | 171 | $47K |
| Semaglutide | 46 | $45K |
| Insulin Aspart | 71 | $41K |
| Paliperidone Palmitate | 16 | $38K |
| Darunavir/Cob/Emtri/Tenof Alaf | 11 | $34K |
| Sitagliptin Phosphate | 54 | $30K |
| Dolutegravir Sodium | 22 | $30K |
Prescribing Profile
Patient Profile
74
Avg Age
54%
Female
1.63
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