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
12,263
Total Claims
$957K
Drug Cost
623
Beneficiaries
$1,536
Cost/Patient
Risk Score Breakdown 18/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+129%
Opioid rate vs peers
5.9% vs 2.6% avg
+44%
Cost per patient vs peers
$1,536 vs $1,068 avg
+18%
Brand preference vs peers
10.6% 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
5.9%
Opioid Rate
725
Opioid Claims
$21K
Opioid Cost
9.7%
Long-Acting Rate
Brand vs Generic
Brand: 1,288 claims · $732K
Generic: 10,864 claims · $217K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 89 | $82K |
| Sitagliptin Phosphate | 64 | $69K |
| Insulin Glargine,hum.Rec.Anlog | 75 | $66K |
| Empagliflozin | 53 | $58K |
| Dulaglutide | 43 | $53K |
| Semaglutide | 42 | $44K |
| Rivaroxaban | 52 | $40K |
| Budesonide/Formoterol Fumarate | 64 | $35K |
| Dapagliflozin Propanediol | 23 | $28K |
| Insulin Glargine,hum.Rec.Anlog | 18 | $24K |
| Tirzepatide | 19 | $22K |
| Sitagliptin Phos/Metformin Hcl | 19 | $21K |
| Mirabegron | 19 | $17K |
| Insulin Degludec | 21 | $11K |
| Exenatide Microspheres | 13 | $11K |
Prescribing Profile
Patient Profile
71
Avg Age
50%
Female
1.13
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