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: 98%
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
9,923
Total Claims
$603K
Drug Cost
429
Beneficiaries
$1,405
Cost/Patient
Risk Score Breakdown 18/100
Score components are additive. Read full methodology
Peer Comparison vs. 21 Clinic or Group Practice providers
+54%
Cost per patient vs peers
$1,405 vs $915 avg
+39%
Brand preference vs peers
10.8% vs 7.8% 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
4.3%
Opioid Rate
424
Opioid Claims
$18K
Opioid Cost
11.8%
Long-Acting Rate
Brand vs Generic
Brand: 1,066 claims · $427K
Generic: 8,803 claims · $173K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 110 | $70K |
| Semaglutide | 38 | $58K |
| Rivaroxaban | 41 | $36K |
| Varicella-Zoster Ge/As01b/Pf | 86 | $18K |
| Empagliflozin | 24 | $17K |
| Fluticasone/Umeclidin/Vilanter | 15 | $15K |
| Dulaglutide | 15 | $15K |
| Mirabegron | 57 | $15K |
| Insulin Aspart | 32 | $13K |
| Dapagliflozin Propanediol | 16 | $13K |
| Budesonide/Formoterol Fumarate | 32 | $13K |
| Fluticasone/Vilanterol | 15 | $11K |
| Insulin Detemir | 38 | $10K |
| Atorvastatin Calcium | 741 | $10K |
| Carvedilol Phosphate | 15 | $5,587 |
Prescribing Profile
Patient Profile
73
Avg Age
54%
Female
1.21
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