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
15,096
Total Claims
$1.5M
Drug Cost
850
Beneficiaries
$1,733
Cost/Patient
Risk Score Breakdown 41/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+654%
Opioid rate vs peers
16.9% vs 2.2% avg
+23%
Cost per patient vs peers
$1,733 vs $1,411 avg
-2%
Brand preference vs peers
10.4% vs 10.6% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
⚠️ 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
16.9%
Opioid Rate
2,548
Opioid Claims
$78K
Opioid Cost
1.3%
Long-Acting Rate
Brand vs Generic
Brand: 1,558 claims · $1.2M
Generic: 13,471 claims · $272K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Semaglutide | 126 | $151K |
| Dulaglutide | 108 | $129K |
| Tirzepatide | 98 | $124K |
| Fluticasone/Umeclidin/Vilanter | 108 | $78K |
| Empagliflozin | 83 | $69K |
| Insulin Glargine,hum.Rec.Anlog | 74 | $58K |
| Hydrocodone/Acetaminophen | 1,830 | $54K |
| Apixaban | 47 | $44K |
| Dapagliflozin Propanediol | 51 | $40K |
| Linaclotide | 52 | $36K |
| Budesonide/Formoterol Fumarate | 69 | $35K |
| Semaglutide | 18 | $34K |
| Cariprazine Hcl | 15 | $32K |
| Rivaroxaban | 30 | $28K |
| Insulin Degludec | 14 | $21K |
Prescribing Profile
Patient Profile
65
Avg Age
59%
Female
1.46
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