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: 96%
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
24,904
Total Claims
$1.6M
Drug Cost
773
Beneficiaries
$2,064
Cost/Patient
Risk Score Breakdown 26/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+236%
Opioid rate vs peers
8.7% vs 2.6% avg
+93%
Cost per patient vs peers
$2,064 vs $1,068 avg
+13%
Brand preference vs peers
10.1% vs 9.0% 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
8.7%
Opioid Rate
2,161
Opioid Claims
$67K
Opioid Cost
1.9%
Long-Acting Rate
Brand vs Generic
Brand: 2,509 claims · $1.2M
Generic: 22,236 claims · $436K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Empagliflozin | 183 | $117K |
| Semaglutide | 110 | $112K |
| Apixaban | 225 | $101K |
| Dulaglutide | 43 | $46K |
| Dapagliflozin Propanediol | 58 | $45K |
| Sitagliptin Phosphate | 42 | $43K |
| Hydrocodone/Acetaminophen | 1,235 | $43K |
| Insulin Detemir | 46 | $42K |
| Linaclotide | 61 | $37K |
| Insulin Glargine,hum.Rec.Anlog | 66 | $37K |
| Linagliptin | 45 | $30K |
| Rivaroxaban | 40 | $28K |
| Fluticasone/Umeclidin/Vilanter | 40 | $27K |
| Budesonide/Formoterol Fumarate | 65 | $26K |
| Insulin Degludec | 24 | $24K |
Prescribing Profile
Patient Profile
70
Avg Age
55%
Female
1.47
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