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
10,358
Total Claims
$1.1M
Drug Cost
269
Beneficiaries
$3,911
Cost/Patient
Risk Score Breakdown 26/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
-76%
Opioid rate vs peers
0.6% vs 2.6% avg
+266%
Cost per patient vs peers
$3,911 vs $1,068 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
0.6%
Opioid Rate
64
Opioid Claims
$842
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 0 claims · $0
Generic: 8,313 claims · $252K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 496 | $142K |
| Bictegrav/Emtricit/Tenofov Ala | 19 | $76K |
| Sitagliptin Phosphate | 278 | $75K |
| Empagliflozin | 242 | $75K |
| Rivaroxaban | 97 | $29K |
| Dulaglutide | 26 | $26K |
| Raltegravir Potassium | 11 | $22K |
| Semaglutide | 13 | $20K |
| Sacubitril/Valsartan | 35 | $15K |
| Patiromer Calcium Sorbitex | 29 | $14K |
| Paliperidone | 16 | $13K |
| Sodium Zirconium Cyclosilicate | 41 | $12K |
| Ipratropium/Albuterol Sulfate | 23 | $12K |
| Ezetimibe | 155 | $9,959 |
| Atorvastatin Calcium | 647 | $9,667 |
Prescribing Profile
Patient Profile
75
Avg Age
64%
Female
2.68
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