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: 85%
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
14,598
Total Claims
$1.1M
Drug Cost
815
Beneficiaries
$1,310
Cost/Patient
Risk Score Breakdown 21/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+35%
Opioid rate vs peers
3.0% vs 2.2% avg
-7%
Cost per patient vs peers
$1,310 vs $1,411 avg
+10%
Brand preference vs peers
11.7% 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
3.0%
Opioid Rate
440
Opioid Claims
$15K
Opioid Cost
9.8%
Long-Acting Rate
Brand vs Generic
Brand: 1,691 claims · $810K
Generic: 12,781 claims · $253K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 188 | $156K |
| Dulaglutide | 67 | $93K |
| Rivaroxaban | 100 | $69K |
| Sitagliptin Phosphate | 54 | $43K |
| Insulin Glargine,hum.Rec.Anlog | 40 | $34K |
| Tirzepatide | 14 | $27K |
| Empagliflozin | 27 | $27K |
| Semaglutide | 21 | $26K |
| Budesonide/Formoterol Fumarate | 45 | $22K |
| Vortioxetine Hydrobromide | 23 | $20K |
| Fluticasone/Umeclidin/Vilanter | 20 | $18K |
| Mirabegron | 21 | $18K |
| Levothyroxine Sodium | 934 | $16K |
| Semaglutide | 13 | $15K |
| Budesonide/Formoterol Fumarate | 39 | $14K |
Prescribing Profile
Patient Profile
76
Avg Age
55%
Female
1.38
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