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
17,901
Total Claims
$2.2M
Drug Cost
951
Beneficiaries
$2,334
Cost/Patient
Risk Score Breakdown 15/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+128%
Opioid rate vs peers
5.1% vs 2.2% avg
+65%
Cost per patient vs peers
$2,334 vs $1,411 avg
+14%
Brand preference vs peers
12.2% 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
5.1%
Opioid Rate
913
Opioid Claims
$154K
Opioid Cost
8.1%
Long-Acting Rate
Brand vs Generic
Brand: 2,154 claims · $1.8M
Generic: 15,551 claims · $408K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 162 | $178K |
| Sitagliptin Phosphate | 117 | $164K |
| Dapagliflozin Propanediol | 105 | $152K |
| Linagliptin | 77 | $79K |
| Semaglutide | 46 | $77K |
| Insulin Degludec | 38 | $67K |
| Rivaroxaban | 38 | $64K |
| Fluticasone/Umeclidin/Vilanter | 54 | $59K |
| Empagliflozin | 50 | $55K |
| Oxycodone Hcl | 32 | $54K |
| Umeclidinium Brm/Vilanterol Tr | 47 | $53K |
| Insulin Glargine,hum.Rec.Anlog | 42 | $48K |
| Fluticasone/Vilanterol | 79 | $44K |
| Dulaglutide | 29 | $40K |
| Insulin Degludec | 25 | $39K |
Prescribing Profile
Patient Profile
75
Avg Age
52%
Female
1.05
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