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: 87%
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
9,018
Total Claims
$753K
Drug Cost
474
Beneficiaries
$1,589
Cost/Patient
Risk Score Breakdown 18/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,389 General Practice providers
+14%
Opioid rate vs peers
2.8% vs 2.5% avg
+41%
Cost per patient vs peers
$1,589 vs $1,128 avg
+46%
Brand preference vs peers
12.2% vs 8.4% 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
2.8%
Opioid Rate
254
Opioid Claims
$3,252
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 1,097 claims · $632K
Generic: 7,870 claims · $118K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Dulaglutide | 64 | $80K |
| Empagliflozin | 90 | $77K |
| Semaglutide | 60 | $59K |
| Dapagliflozin Propanediol | 108 | $58K |
| Sitagliptin Phosphate | 64 | $46K |
| Tirzepatide | 36 | $41K |
| Dapaglifloz Propaned/Metformin | 27 | $31K |
| Apixaban | 43 | $23K |
| Rivaroxaban | 61 | $18K |
| Insulin Glargine,hum.Rec.Anlog | 19 | $18K |
| Insulin Glargine,hum.Rec.Anlog | 15 | $18K |
| Liraglutide | 11 | $13K |
| Insulin Glargine,hum.Rec.Anlog | 23 | $10K |
| Linaclotide | 16 | $8,919 |
| Insulin Glargine,hum.Rec.Anlog | 23 | $8,014 |
Prescribing Profile
Patient Profile
74
Avg Age
43%
Female
1.26
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