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: 86%
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
15,334
Total Claims
$1.5M
Drug Cost
797
Beneficiaries
$1,827
Cost/Patient
Risk Score Breakdown 24/100
Score components are additive. Read full methodology
Peer Comparison vs. 3,186 Anesthesiology providers
+62%
Opioid rate vs peers
56.4% vs 34.8% avg
+333%
Cost per patient vs peers
$1,827 vs $422 avg
+109%
Brand preference vs peers
9.9% vs 4.7% 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
56.4%
Opioid Rate
8,648
Opioid Claims
$1.0M
Opioid Cost
21.3%
Long-Acting Rate
This provider's opioid prescribing rate of 56.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 1,514 claims · $982K
Generic: 13,820 claims · $474K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Buprenorphine Hcl | 342 | $314K |
| Buprenorphine | 323 | $135K |
| Tapentadol Hcl | 94 | $126K |
| Oxycodone Myristate | 110 | $76K |
| Rimegepant Sulfate | 48 | $70K |
| Hydrocodone/Acetaminophen | 2,194 | $61K |
| Buprenorphine | 60 | $61K |
| Oxycodone Hcl | 2,258 | $56K |
| Oxycodone Hcl/Acetaminophen | 1,432 | $53K |
| Tapentadol Hcl | 32 | $46K |
| Oxycodone Hcl | 57 | $33K |
| Pregabalin | 498 | $29K |
| Galcanezumab-Gnlm | 37 | $27K |
| Morphine Sulfate | 481 | $27K |
| Lemborexant | 70 | $23K |
Prescribing Profile
58
Unique Drugs
24.0
Anomaly Score
Patient Profile
66
Avg Age
62%
Female
1.65
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