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
8,646
Total Claims
$980K
Drug Cost
370
Beneficiaries
$2,648
Cost/Patient
Risk Score Breakdown 13/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+165%
Opioid rate vs peers
6.8% vs 2.6% avg
+148%
Cost per patient vs peers
$2,648 vs $1,068 avg
+56%
Brand preference vs peers
14.1% 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
6.8%
Opioid Rate
591
Opioid Claims
$13K
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 1,205 claims · $785K
Generic: 7,369 claims · $189K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Dulaglutide | 64 | $72K |
| Apixaban | 98 | $71K |
| Semaglutide | 46 | $63K |
| Fluticasone/Umeclidin/Vilanter | 53 | $59K |
| Tirzepatide | 48 | $58K |
| Budesonide/Formoterol Fumarate | 94 | $52K |
| Sitagliptin Phosphate | 37 | $49K |
| Insulin Glargine,hum.Rec.Anlog | 56 | $36K |
| Empagliflozin | 22 | $34K |
| Linaclotide | 36 | $28K |
| Dapagliflozin Propanediol | 15 | $19K |
| Fluticasone Propion/Salmeterol | 41 | $18K |
| Mirabegron | 15 | $16K |
| Ipratropium/Albuterol Sulfate | 28 | $15K |
| Insulin Lispro | 13 | $12K |
Prescribing Profile
Patient Profile
66
Avg Age
57%
Female
1.83
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