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: 94%
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
12,432
Total Claims
$1.4M
Drug Cost
249
Beneficiaries
$5,735
Cost/Patient
Risk Score Breakdown 30/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+306%
Cost per patient vs peers
$5,735 vs $1,411 avg
+69%
Brand preference vs peers
18.0% 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
2.2%
Opioid Rate
277
Opioid Claims
$7,327
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 2,231 claims · $1.1M
Generic: 10,182 claims · $310K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Valbenazine Tosylate | 40 | $182K |
| Adalimumab | 22 | $160K |
| Apixaban | 468 | $131K |
| Pimavanserin Tartrate | 32 | $78K |
| Collagenase Clostridium Hist. | 32 | $72K |
| Dulaglutide | 76 | $70K |
| Insulin Glargine,hum.Rec.Anlog | 186 | $62K |
| Insulin Aspart | 98 | $37K |
| Fluticasone/Vilanterol | 60 | $25K |
| Brexpiprazole | 29 | $20K |
| Dextromethorphan Hbr/Quinidine | 25 | $19K |
| Insulin Lispro | 70 | $17K |
| Semaglutide | 15 | $15K |
| Atorvastatin Calcium | 668 | $14K |
| Olanzapine | 310 | $14K |
Prescribing Profile
Patient Profile
75
Avg Age
56%
Female
2.76
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