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
17,566
Total Claims
$1.5M
Drug Cost
300
Beneficiaries
$4,917
Cost/Patient
Risk Score Breakdown 30/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
-51%
Opioid rate vs peers
1.1% vs 2.2% avg
+248%
Cost per patient vs peers
$4,917 vs $1,411 avg
+100%
Brand preference vs peers
21.3% 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
1.1%
Opioid Rate
193
Opioid Claims
$8,265
Opioid Cost
7.3%
Long-Acting Rate
Brand vs Generic
Brand: 3,689 claims · $1.1M
Generic: 13,628 claims · $324K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Valbenazine Tosylate | 30 | $232K |
| Apixaban | 782 | $218K |
| Dextromethorphan Hbr/Quinidine | 117 | $84K |
| Rivaroxaban | 189 | $50K |
| Linaclotide | 75 | $41K |
| Epoetin Alfa | 19 | $27K |
| Insulin Aspart | 199 | $24K |
| Sacubitril/Valsartan | 66 | $22K |
| Pen Needle, Diabetic, Safety | 242 | $22K |
| Fluticasone/Vilanterol | 51 | $20K |
| Fluticasone/Umeclidin/Vilanter | 30 | $20K |
| Insulin Detemir | 110 | $20K |
| Empagliflozin | 67 | $19K |
| Dapagliflozin Propanediol | 67 | $18K |
| Linagliptin | 67 | $17K |
Prescribing Profile
Patient Profile
77
Avg Age
57%
Female
2.80
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