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: 88%
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
14,380
Total Claims
$1.3M
Drug Cost
504
Beneficiaries
$2,519
Cost/Patient
Risk Score Breakdown 29/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+46%
Opioid rate vs peers
3.3% vs 2.2% avg
+78%
Cost per patient vs peers
$2,519 vs $1,411 avg
+22%
Brand preference vs peers
13.0% 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
3.3%
Opioid Rate
471
Opioid Claims
$13K
Opioid Cost
16.3%
Long-Acting Rate
Brand vs Generic
Brand: 1,853 claims · $1.0M
Generic: 12,436 claims · $257K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 257 | $176K |
| Semaglutide | 103 | $112K |
| Insulin Aspart | 113 | $79K |
| Rivaroxaban | 95 | $77K |
| Empagliflozin | 66 | $43K |
| Insulin Glargine,hum.Rec.Anlog | 53 | $42K |
| Insulin Detemir | 87 | $42K |
| Aripiprazole Lauroxil | 13 | $41K |
| Insulin Lispro | 50 | $38K |
| Paliperidone Palmitate | 19 | $33K |
| Tirzepatide | 26 | $31K |
| Mirabegron | 65 | $26K |
| Fluticasone/Umeclidin/Vilanter | 27 | $23K |
| Insulin Glargine,hum.Rec.Anlog | 49 | $22K |
| Empagliflozin/Metformin Hcl | 24 | $17K |
Prescribing Profile
Patient Profile
75
Avg Age
47%
Female
1.61
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