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: 95%
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
21,972
Total Claims
$2.7M
Drug Cost
748
Beneficiaries
$3,657
Cost/Patient
Risk Score Breakdown 24/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
-15%
Opioid rate vs peers
1.9% vs 2.2% avg
+159%
Cost per patient vs peers
$3,657 vs $1,411 avg
+39%
Brand preference vs peers
14.8% 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
1.9%
Opioid Rate
417
Opioid Claims
$18K
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 3,222 claims · $2.2M
Generic: 18,571 claims · $479K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Rifaximin | 56 | $185K |
| Semaglutide | 120 | $184K |
| Apixaban | 336 | $146K |
| Empagliflozin/Linagliptin | 150 | $135K |
| Doravirine/Lamivu/Tenofov Diso | 49 | $132K |
| Semaglutide | 85 | $122K |
| Sitagliptin Phosphate | 185 | $100K |
| Linaclotide | 134 | $81K |
| Rivaroxaban | 92 | $76K |
| Dulaglutide | 65 | $74K |
| Tirzepatide | 53 | $68K |
| Liraglutide | 31 | $67K |
| Dolutegravir Sodium/Lamivudine | 19 | $56K |
| Dapagliflozin Propanediol | 53 | $53K |
| Raltegravir Potassium | 26 | $53K |
Prescribing Profile
Patient Profile
74
Avg Age
55%
Female
1.58
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