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
48,559
Total Claims
$3.3M
Drug Cost
1,016
Beneficiaries
$3,271
Cost/Patient
Risk Score Breakdown 26/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
-53%
Opioid rate vs peers
1.2% vs 2.6% avg
+206%
Cost per patient vs peers
$3,271 vs $1,068 avg
+60%
Brand preference vs peers
14.4% 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
1.2%
Opioid Rate
584
Opioid Claims
$14K
Opioid Cost
4.8%
Long-Acting Rate
Brand vs Generic
Brand: 6,975 claims · $2.4M
Generic: 41,504 claims · $939K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 1,546 | $453K |
| Linagliptin | 697 | $207K |
| Interferon Beta-1b | 11 | $108K |
| Paliperidone Palmitate | 32 | $107K |
| Mirabegron | 374 | $98K |
| Rivaroxaban | 327 | $97K |
| Dulaglutide | 96 | $93K |
| Valbenazine Tosylate | 22 | $92K |
| Dapagliflozin Propanediol | 266 | $88K |
| Rifaximin | 41 | $81K |
| Dextromethorphan Hbr/Quinidine | 106 | $75K |
| Empagliflozin | 194 | $73K |
| Insulin Glargine,hum.Rec.Anlog | 196 | $50K |
| Fluticasone Propion/Salmeterol | 91 | $34K |
| Sitagliptin Phosphate | 92 | $33K |
Prescribing Profile
Patient Profile
73
Avg Age
60%
Female
2.71
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