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: 92%
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
13,027
Total Claims
$1.3M
Drug Cost
805
Beneficiaries
$1,556
Cost/Patient
Risk Score Breakdown 30/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+192%
Opioid rate vs peers
7.5% vs 2.6% avg
+46%
Cost per patient vs peers
$1,556 vs $1,068 avg
+54%
Brand preference vs peers
13.8% 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
7.5%
Opioid Rate
982
Opioid Claims
$73K
Opioid Cost
27.1%
Long-Acting Rate
Brand vs Generic
Brand: 1,793 claims · $1.0M
Generic: 11,160 claims · $232K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Semaglutide | 100 | $133K |
| Apixaban | 154 | $113K |
| Insulin Aspart | 44 | $56K |
| Rivaroxaban | 59 | $46K |
| Dulaglutide | 39 | $45K |
| Fluticasone/Umeclidin/Vilanter | 37 | $44K |
| Rsv Vacc, Pref A And Pref B/Pf | 131 | $41K |
| Dapagliflozin Propanediol | 30 | $37K |
| Mirabegron | 36 | $31K |
| Insulin Glargine,hum.Rec.Anlog | 21 | $29K |
| Oxycodone Hcl | 53 | $26K |
| Linaclotide | 41 | $26K |
| Umeclidinium Brm/Vilanterol Tr | 20 | $22K |
| Empagliflozin | 20 | $21K |
| Varicella-Zoster Ge/As01b/Pf | 99 | $20K |
Prescribing Profile
Patient Profile
73
Avg Age
56%
Female
1.15
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