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: 99%
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
10,374
Total Claims
$574K
Drug Cost
165
Beneficiaries
$3,482
Cost/Patient
Risk Score Breakdown 41/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+590%
Opioid rate vs peers
17.8% vs 2.6% avg
+226%
Cost per patient vs peers
$3,482 vs $1,068 avg
+4%
Brand preference vs peers
9.4% vs 9.0% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
⚠️ 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
17.8%
Opioid Rate
1,847
Opioid Claims
$46K
Opioid Cost
2.9%
Long-Acting Rate
Brand vs Generic
Brand: 965 claims · $376K
Generic: 9,332 claims · $196K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Budesonide/Formoterol Fumarate | 124 | $54K |
| Sitagliptin Phosphate | 43 | $38K |
| Ipratropium/Albuterol Sulfate | 72 | $37K |
| Oxycodone Hcl/Acetaminophen | 1,102 | $32K |
| Apixaban | 38 | $29K |
| Tiotropium Bromide | 30 | $21K |
| Linaclotide | 24 | $20K |
| Varenicline Tartrate | 53 | $19K |
| Insulin Glargine,hum.Rec.Anlog | 24 | $16K |
| Fluticasone/Umeclidin/Vilanter | 20 | $14K |
| Levalbuterol Tartrate | 175 | $12K |
| Tiotropium Bromide | 20 | $11K |
| Mirabegron | 18 | $11K |
| Umeclidinium Bromide | 23 | $8,802 |
| Insulin Lispro | 14 | $7,909 |
Prescribing Profile
Patient Profile
62
Avg Age
52%
Female
1.53
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