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 →30
🟠 Elevated
🤖 ML Fraud Detection Score: 93%
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
8,919
Total Claims
$1.2M
Drug Cost
215
Beneficiaries
$5,370
Cost/Patient
Risk Score Breakdown 30/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
-18%
Opioid rate vs peers
3.1% vs 3.8% avg
+357%
Cost per patient vs peers
$5,370 vs $1,174 avg
+89%
Brand preference vs peers
16.7% vs 8.9% 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
3.1%
Opioid Rate
277
Opioid Claims
$4,952
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 1,482 claims · $1.0M
Generic: 7,367 claims · $130K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Brexpiprazole | 72 | $110K |
| Semaglutide | 100 | $105K |
| Fluticasone/Umeclidin/Vilanter | 122 | $101K |
| Budesonide/Glycopyr/Formoterol | 105 | $84K |
| Aripiprazole | 31 | $75K |
| Tirzepatide | 45 | $61K |
| Rimegepant Sulfate | 25 | $47K |
| Dapagliflozin Propanediol | 55 | $45K |
| Dulaglutide | 44 | $44K |
| Cariprazine Hcl | 16 | $25K |
| Finerenone | 33 | $23K |
| Sitagliptin Phosphate | 35 | $22K |
| Evolocumab | 24 | $20K |
| Rivaroxaban | 32 | $19K |
| Insulin Glargine,hum.Rec.Anlog | 29 | $18K |
Prescribing Profile
Patient Profile
62
Avg Age
61%
Female
1.33
Avg Risk Score
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Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About