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
9,161
Total Claims
$893K
Drug Cost
744
Beneficiaries
$1,201
Cost/Patient
Risk Score Breakdown 15/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
-34%
Opioid rate vs peers
1.5% vs 2.2% avg
-15%
Cost per patient vs peers
$1,201 vs $1,411 avg
-11%
Brand preference vs peers
9.4% 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
1.5%
Opioid Rate
136
Opioid Claims
$1,770
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 852 claims · $698K
Generic: 8,203 claims · $192K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Dapagliflozin Propanediol | 40 | $65K |
| Apixaban | 57 | $63K |
| Empagliflozin | 30 | $55K |
| Sitagliptin Phosphate | 29 | $48K |
| Semaglutide | 25 | $37K |
| Rivaroxaban | 34 | $36K |
| Dulaglutide | 12 | $31K |
| Empagliflozin/Linagliptin | 18 | $22K |
| Linagliptin | 17 | $21K |
| Insulin Aspart | 12 | $21K |
| Sitagliptin Phos/Metformin Hcl | 15 | $20K |
| Insulin Glargine,hum.Rec.Anlog | 21 | $15K |
| Fluticasone Propion/Salmeterol | 13 | $14K |
| Budesonide/Formoterol Fumarate | 17 | $14K |
| Fluticasone/Vilanterol | 22 | $13K |
Prescribing Profile
Patient Profile
74
Avg Age
53%
Female
0.90
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