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: 90%
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
9,491
Total Claims
$831K
Drug Cost
391
Beneficiaries
$2,125
Cost/Patient
Risk Score Breakdown 24/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
-60%
Opioid rate vs peers
1.5% vs 3.8% avg
+81%
Cost per patient vs peers
$2,125 vs $1,174 avg
+45%
Brand preference vs peers
12.8% vs 8.9% 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
1.5%
Opioid Rate
143
Opioid Claims
$2,774
Opioid Cost
8.4%
Long-Acting Rate
Brand vs Generic
Brand: 1,193 claims · $604K
Generic: 8,117 claims · $218K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 178 | $110K |
| Dulaglutide | 86 | $84K |
| Bictegrav/Emtricit/Tenofov Ala | 14 | $55K |
| Rivaroxaban | 65 | $36K |
| Insulin Glargine,hum.Rec.Anlog | 94 | $27K |
| Semaglutide | 24 | $25K |
| Sitagliptin Phosphate | 22 | $11K |
| Mirabegron | 15 | $9,248 |
| Vibegron | 20 | $9,090 |
| Insulin Aspart | 20 | $8,403 |
| Empagliflozin | 14 | $8,042 |
| Insulin Detemir | 21 | $8,001 |
| Sucralfate | 55 | $7,937 |
| Gabapentin | 324 | $6,556 |
| Pantoprazole Sodium | 264 | $6,284 |
Prescribing Profile
Patient Profile
78
Avg Age
65%
Female
2.88
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