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: 88%
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
8,967
Total Claims
$933K
Drug Cost
540
Beneficiaries
$1,728
Cost/Patient
Risk Score Breakdown 9/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+50%
Opioid rate vs peers
3.4% vs 2.2% avg
+22%
Cost per patient vs peers
$1,728 vs $1,411 avg
+7%
Brand preference vs peers
11.4% vs 10.6% 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
3.4%
Opioid Rate
301
Opioid Claims
$15K
Opioid Cost
7.0%
Long-Acting Rate
Brand vs Generic
Brand: 1,003 claims · $704K
Generic: 7,827 claims · $222K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 88 | $77K |
| Rivaroxaban | 59 | $58K |
| Dapagliflozin Propanediol | 49 | $58K |
| Sitagliptin Phosphate | 42 | $56K |
| Empagliflozin | 31 | $47K |
| Linagliptin | 35 | $44K |
| Dolutegravir/Rilpivirine | 11 | $35K |
| Fluticasone/Umeclidin/Vilanter | 30 | $25K |
| Dulaglutide | 19 | $20K |
| Budesonide/Formoterol Fumarate | 38 | $19K |
| Insulin Glargine,hum.Rec.Anlog | 23 | $18K |
| Insulin Degludec | 13 | $16K |
| Fluticasone Propion/Salmeterol | 26 | $14K |
| Insulin Detemir | 11 | $10K |
| Dexlansoprazole | 28 | $7,600 |
Prescribing Profile
Patient Profile
75
Avg Age
52%
Female
1.02
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