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
8,881
Total Claims
$792K
Drug Cost
490
Beneficiaries
$1,617
Cost/Patient
Risk Score Breakdown 21/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+76%
Opioid rate vs peers
3.9% vs 2.2% avg
+15%
Cost per patient vs peers
$1,617 vs $1,411 avg
+5%
Brand preference vs peers
11.2% 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
3.9%
Opioid Rate
349
Opioid Claims
$17K
Opioid Cost
11.7%
Long-Acting Rate
Brand vs Generic
Brand: 979 claims · $614K
Generic: 7,787 claims · $172K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 122 | $92K |
| Sitagliptin Phosphate | 64 | $75K |
| Semaglutide | 45 | $46K |
| Rivaroxaban | 26 | $33K |
| Insulin Aspart | 17 | $17K |
| Liraglutide | 14 | $17K |
| Dulaglutide | 14 | $14K |
| Insulin Degludec | 13 | $14K |
| Fluticasone/Umeclidin/Vilanter | 14 | $12K |
| Tiotropium Bromide | 14 | $12K |
| Exenatide Microspheres | 14 | $12K |
| Insulin Glargine,hum.Rec.Anlog | 16 | $11K |
| Gabapentin | 440 | $9,727 |
| Mirabegron | 15 | $9,472 |
| Budesonide/Formoterol Fumarate | 18 | $8,521 |
Prescribing Profile
Patient Profile
72
Avg Age
46%
Female
1.38
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