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: 93%
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
11,127
Total Claims
$915K
Drug Cost
544
Beneficiaries
$1,683
Cost/Patient
Risk Score Breakdown 24/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+43%
Opioid rate vs peers
3.7% vs 2.6% avg
+58%
Cost per patient vs peers
$1,683 vs $1,068 avg
+16%
Brand preference vs peers
10.4% vs 9.0% 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
3.7%
Opioid Rate
411
Opioid Claims
$5,991
Opioid Cost
3.9%
Long-Acting Rate
Brand vs Generic
Brand: 1,151 claims · $730K
Generic: 9,868 claims · $181K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 89 | $58K |
| Dapagliflozin Propanediol | 64 | $50K |
| Empagliflozin | 49 | $47K |
| Semaglutide | 35 | $42K |
| Insulin Glargine,hum.Rec.Anlog | 36 | $37K |
| Dulaglutide | 27 | $29K |
| Budesonide/Glycopyr/Formoterol | 33 | $28K |
| Rivaroxaban | 32 | $26K |
| Insulin Glargine,hum.Rec.Anlog | 28 | $26K |
| Insulin Aspart | 22 | $24K |
| Sitagliptin Phosphate | 18 | $24K |
| Budesonide/Formoterol Fumarate | 33 | $18K |
| Fluticasone Propion/Salmeterol | 27 | $18K |
| Mirabegron | 50 | $16K |
| Tirzepatide | 13 | $15K |
Prescribing Profile
Patient Profile
72
Avg Age
62%
Female
1.31
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