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: 95%
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
69,506
Total Claims
$2.3M
Drug Cost
855
Beneficiaries
$2,657
Cost/Patient
Risk Score Breakdown 26/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
-20%
Opioid rate vs peers
1.8% vs 2.2% avg
+88%
Cost per patient vs peers
$2,657 vs $1,411 avg
-8%
Brand preference vs peers
9.8% 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
1.8%
Opioid Rate
1,244
Opioid Claims
$39K
Opioid Cost
10.2%
Long-Acting Rate
Brand vs Generic
Brand: 6,808 claims · $1.5M
Generic: 62,626 claims · $807K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 1,365 | $263K |
| Rifaximin | 64 | $95K |
| Sitagliptin Phosphate | 468 | $80K |
| Empagliflozin | 470 | $77K |
| Mirabegron | 416 | $68K |
| Insulin Detemir | 185 | $66K |
| Dulaglutide | 68 | $57K |
| Insulin Aspart | 161 | $53K |
| Rivaroxaban | 209 | $44K |
| Cariprazine Hcl | 105 | $37K |
| Collagenase Clostridium Hist. | 58 | $33K |
| Fluticasone/Umeclidin/Vilanter | 47 | $32K |
| Insulin Glargine,hum.Rec.Anlog | 93 | $30K |
| Atorvastatin Calcium | 3,928 | $29K |
| Dextromethorphan Hbr/Quinidine | 61 | $26K |
Prescribing Profile
Patient Profile
79
Avg Age
68%
Female
2.38
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