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: 85%
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
8,637
Total Claims
$828K
Drug Cost
679
Beneficiaries
$1,220
Cost/Patient
Risk Score Breakdown 9/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
-20%
Opioid rate vs peers
2.1% vs 2.6% avg
+14%
Cost per patient vs peers
$1,220 vs $1,068 avg
+23%
Brand preference vs peers
11.1% 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
2.1%
Opioid Rate
178
Opioid Claims
$1,930
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 946 claims · $657K
Generic: 7,594 claims · $166K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 179 | $188K |
| Rivaroxaban | 28 | $44K |
| Empagliflozin | 47 | $41K |
| Fluticasone/Umeclidin/Vilanter | 39 | $35K |
| Dapagliflozin Propanediol | 31 | $30K |
| Fluticasone/Vilanterol | 32 | $30K |
| Sitagliptin Phosphate | 23 | $28K |
| Semaglutide | 21 | $25K |
| Insulin Detemir | 28 | $20K |
| Canagliflozin | 18 | $19K |
| Insulin Glargine,hum.Rec.Anlog | 23 | $15K |
| Budesonide/Formoterol Fumarate | 25 | $11K |
| Atorvastatin Calcium | 605 | $10K |
| Insulin Aspart | 16 | $7,432 |
| Metoprolol Succinate | 410 | $7,101 |
Prescribing Profile
Patient Profile
75
Avg Age
48%
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