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: 86%
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
11,381
Total Claims
$1.0M
Drug Cost
924
Beneficiaries
$1,133
Cost/Patient
Risk Score Breakdown 15/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
-37%
Opioid rate vs peers
5.8% vs 9.2% avg
+58%
Cost per patient vs peers
$1,133 vs $719 avg
+64%
Brand preference vs peers
10.9% vs 6.7% 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
5.8%
Opioid Rate
655
Opioid Claims
$9,770
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 1,231 claims · $849K
Generic: 10,062 claims · $193K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Semaglutide | 77 | $91K |
| Apixaban | 62 | $87K |
| Rivaroxaban | 44 | $74K |
| Empagliflozin | 62 | $74K |
| Tirzepatide | 20 | $31K |
| Budesonide/Formoterol Fumarate | 65 | $31K |
| Insulin Glargine,hum.Rec.Anlog | 38 | $28K |
| Insulin Degludec | 34 | $27K |
| Dulaglutide | 16 | $24K |
| Budesonide/Glycopyr/Formoterol | 31 | $23K |
| Sitagliptin Phosphate | 14 | $23K |
| Fluticasone/Umeclidin/Vilanter | 17 | $19K |
| Insulin Lispro | 23 | $19K |
| Sacubitril/Valsartan | 17 | $17K |
| Dapagliflozin Propanediol | 12 | $17K |
Prescribing Profile
Patient Profile
74
Avg Age
56%
Female
1.41
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