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: 98%
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
11,457
Total Claims
$602K
Drug Cost
176
Beneficiaries
$3,419
Cost/Patient
Risk Score Breakdown 26/100
Score components are additive. Read full methodology
Peer Comparison vs. 13,928 Gastroenterology providers
+75%
Cost per patient vs peers
$3,419 vs $1,956 avg
-20%
Brand preference vs peers
11.5% vs 14.4% 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
0.2%
Opioid Rate
20
Opioid Claims
$178
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 1,311 claims · $414K
Generic: 10,055 claims · $187K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 436 | $89K |
| Bictegrav/Emtricit/Tenofov Ala | 20 | $81K |
| Rifaximin | 26 | $36K |
| Cinacalcet Hcl | 19 | $23K |
| Rivaroxaban | 54 | $16K |
| Chlorpromazine Hcl | 48 | $15K |
| Mirabegron | 36 | $11K |
| Insulin Aspart | 35 | $11K |
| Eslicarbazepine Acetate | 15 | $9,671 |
| Rivastigmine | 12 | $8,741 |
| Insulin Detemir | 25 | $8,238 |
| Atorvastatin Calcium | 949 | $7,827 |
| Collagenase Clostridium Hist. | 25 | $7,716 |
| Insulin Lispro | 25 | $7,411 |
| Insulin Glargine,hum.Rec.Anlog | 23 | $7,279 |
Prescribing Profile
Patient Profile
71
Avg Age
60%
Female
2.26
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