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
9,251
Total Claims
$728K
Drug Cost
442
Beneficiaries
$1,647
Cost/Patient
Risk Score Breakdown 18/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+312%
Opioid rate vs peers
10.6% vs 2.6% avg
+54%
Cost per patient vs peers
$1,647 vs $1,068 avg
+42%
Brand preference vs peers
12.8% 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
10.6%
Opioid Rate
982
Opioid Claims
$36K
Opioid Cost
14.3%
Long-Acting Rate
Brand vs Generic
Brand: 1,173 claims · $539K
Generic: 8,023 claims · $186K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 56 | $42K |
| Empagliflozin | 49 | $37K |
| Sitagliptin Phosphate | 59 | $36K |
| Dapagliflozin Propanediol | 51 | $30K |
| Tirzepatide | 23 | $28K |
| Semaglutide | 23 | $27K |
| Fluticasone/Umeclidin/Vilanter | 29 | $24K |
| Budesonide/Glycopyr/Formoterol | 32 | $22K |
| Dulaglutide | 13 | $21K |
| Budesonide/Formoterol Fumarate | 33 | $21K |
| Insulin Detemir | 30 | $20K |
| Semaglutide | 14 | $14K |
| Insulin Degludec | 14 | $11K |
| Sacubitril/Valsartan | 18 | $10K |
| Sitagliptin Phos/Metformin Hcl | 16 | $10K |
Prescribing Profile
Patient Profile
70
Avg Age
58%
Female
1.36
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