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
9,680
Total Claims
$1.7M
Drug Cost
328
Beneficiaries
$5,331
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+198%
Opioid rate vs peers
7.7% vs 2.6% avg
+399%
Cost per patient vs peers
$5,331 vs $1,068 avg
+96%
Brand preference vs peers
17.6% 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
7.7%
Opioid Rate
744
Opioid Claims
$24K
Opioid Cost
3.5%
Long-Acting Rate
Brand vs Generic
Brand: 1,680 claims · $1.5M
Generic: 7,865 claims · $234K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Dulaglutide | 136 | $196K |
| Empagliflozin | 147 | $159K |
| Dapagliflozin Propanediol | 63 | $90K |
| Rivaroxaban | 84 | $83K |
| Semaglutide | 68 | $79K |
| Fluticasone/Umeclidin/Vilanter | 101 | $76K |
| Apixaban | 65 | $68K |
| Finerenone | 37 | $58K |
| Linaclotide | 35 | $45K |
| Lipase/Protease/Amylase | 12 | $38K |
| Sitagliptin Phos/Metformin Hcl | 33 | $33K |
| Icosapent Ethyl | 44 | $30K |
| Sitagliptin Phosphate | 26 | $28K |
| Budesonide/Formoterol Fumarate | 48 | $27K |
| Empagliflozin/Metformin Hcl | 16 | $21K |
Prescribing Profile
Patient Profile
69
Avg Age
51%
Female
1.42
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