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
25,999
Total Claims
$2.7M
Drug Cost
1,147
Beneficiaries
$2,349
Cost/Patient
Risk Score Breakdown 24/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+110%
Opioid rate vs peers
4.7% vs 2.2% avg
+66%
Cost per patient vs peers
$2,349 vs $1,411 avg
+26%
Brand preference vs peers
13.4% 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
4.7%
Opioid Rate
1,225
Opioid Claims
$18K
Opioid Cost
1.9%
Long-Acting Rate
Brand vs Generic
Brand: 3,466 claims · $2.1M
Generic: 22,326 claims · $553K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Dulaglutide | 170 | $220K |
| Apixaban | 291 | $158K |
| Adalimumab | 14 | $103K |
| Empagliflozin | 75 | $102K |
| Semaglutide | 76 | $96K |
| Etanercept | 12 | $90K |
| Rivaroxaban | 131 | $68K |
| Insulin Degludec | 72 | $59K |
| Mirabegron | 137 | $58K |
| Budesonide/Formoterol Fumarate | 95 | $47K |
| Insulin Glargine,hum.Rec.Anlog | 102 | $47K |
| Cariprazine Hcl | 31 | $44K |
| Insulin Glargine,hum.Rec.Anlog | 32 | $41K |
| Linaclotide | 58 | $41K |
| Tirzepatide | 32 | $39K |
Prescribing Profile
Patient Profile
71
Avg Age
55%
Female
1.67
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