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
23,195
Total Claims
$946K
Drug Cost
470
Beneficiaries
$2,012
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
-13%
Opioid rate vs peers
2.2% vs 2.6% avg
+88%
Cost per patient vs peers
$2,012 vs $1,068 avg
+15%
Brand preference vs peers
10.3% 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
2.2%
Opioid Rate
520
Opioid Claims
$14K
Opioid Cost
21.0%
Long-Acting Rate
Brand vs Generic
Brand: 2,387 claims · $651K
Generic: 20,757 claims · $292K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 449 | $122K |
| Etanercept | 13 | $95K |
| Risperidone Microspheres | 52 | $74K |
| Rivaroxaban | 169 | $47K |
| Paliperidone Palmitate | 13 | $46K |
| Insulin Aspart | 75 | $19K |
| Mirabegron | 83 | $19K |
| Insulin Glargine,hum.Rec.Anlog | 90 | $18K |
| Empagliflozin | 59 | $17K |
| Fluticasone Propion/Salmeterol | 35 | $14K |
| Duloxetine Hcl | 718 | $14K |
| Dulaglutide | 26 | $13K |
| Fluticasone Propionate | 32 | $13K |
| Levothyroxine Sodium | 1,064 | $10K |
| Insulin Detemir | 44 | $10K |
Prescribing Profile
Patient Profile
81
Avg Age
62%
Female
1.79
Avg Risk Score
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Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About