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: 94%
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
12,927
Total Claims
$1000K
Drug Cost
643
Beneficiaries
$1,555
Cost/Patient
Risk Score Breakdown 24/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+31%
Opioid rate vs peers
3.4% vs 2.6% avg
+46%
Cost per patient vs peers
$1,555 vs $1,068 avg
+13%
Brand preference vs peers
10.2% 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
3.4%
Opioid Rate
436
Opioid Claims
$5,105
Opioid Cost
3.9%
Long-Acting Rate
Brand vs Generic
Brand: 1,308 claims · $754K
Generic: 11,574 claims · $243K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 130 | $123K |
| Semaglutide | 73 | $78K |
| Dulaglutide | 58 | $78K |
| Rivaroxaban | 30 | $39K |
| Linaclotide | 51 | $35K |
| Sitagliptin Phosphate | 41 | $32K |
| Dapagliflozin Propanediol | 34 | $24K |
| Fluticasone/Umeclidin/Vilanter | 24 | $23K |
| Insulin Degludec | 27 | $18K |
| Insulin Glargine,hum.Rec.Anlog | 39 | $16K |
| Empagliflozin | 12 | $14K |
| Insulin Degludec | 25 | $13K |
| Tiotropium Bromide | 16 | $11K |
| Sumatriptan Succinate | 40 | $10K |
| Erythromycin Base | 17 | $9,927 |
Prescribing Profile
Patient Profile
70
Avg Age
57%
Female
1.08
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