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
20,380
Total Claims
$1.8M
Drug Cost
586
Beneficiaries
$3,084
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
-47%
Opioid rate vs peers
1.2% vs 2.2% avg
+119%
Cost per patient vs peers
$3,084 vs $1,411 avg
+31%
Brand preference vs peers
13.9% 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
1.2%
Opioid Rate
243
Opioid Claims
$6,021
Opioid Cost
23.0%
Long-Acting Rate
Brand vs Generic
Brand: 2,822 claims · $1.2M
Generic: 17,471 claims · $583K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Paliperidone Palmitate | 60 | $171K |
| Apixaban | 346 | $142K |
| Dulaglutide | 115 | $93K |
| Rivaroxaban | 195 | $74K |
| Risperidone Microspheres | 67 | $57K |
| Insulin Glargine,hum.Rec.Anlog | 208 | $40K |
| Posaconazole | 11 | $34K |
| Empagliflozin | 44 | $31K |
| Sitagliptin Phosphate | 49 | $31K |
| Insulin Lispro | 65 | $26K |
| Atorvastatin Calcium | 1,074 | $25K |
| Olanzapine | 373 | $23K |
| Insulin Glargine,hum.Rec.Anlog | 136 | $22K |
| Lurasidone Hcl | 24 | $22K |
| Divalproex Sodium | 388 | $21K |
Prescribing Profile
Patient Profile
73
Avg Age
50%
Female
2.35
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