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
9,056
Total Claims
$996K
Drug Cost
641
Beneficiaries
$1,553
Cost/Patient
Risk Score Breakdown 30/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+333%
Opioid rate vs peers
16.4% vs 3.8% avg
+32%
Cost per patient vs peers
$1,553 vs $1,174 avg
+41%
Brand preference vs peers
12.5% 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
16.4%
Opioid Rate
1,483
Opioid Claims
$142K
Opioid Cost
24.4%
Long-Acting Rate
Brand vs Generic
Brand: 1,129 claims · $776K
Generic: 7,877 claims · $217K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 94 | $69K |
| Dapagliflozin Propanediol | 59 | $68K |
| Buprenorphine Hcl | 63 | $51K |
| Exenatide Microspheres | 27 | $39K |
| Rivaroxaban | 33 | $39K |
| Semaglutide | 34 | $38K |
| Dulaglutide | 25 | $29K |
| Lipase/Protease/Amylase | 22 | $25K |
| Empagliflozin | 18 | $23K |
| Buprenorphine | 47 | $21K |
| Tirzepatide | 14 | $15K |
| Insulin Detemir | 11 | $14K |
| Hydrocodone/Acetaminophen | 427 | $13K |
| Insulin Glargine,hum.Rec.Anlog | 30 | $13K |
| Insulin Glargine,hum.Rec.Anlog | 13 | $12K |
Prescribing Profile
Patient Profile
71
Avg Age
60%
Female
1.35
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