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: 96%
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
9,286
Total Claims
$592K
Drug Cost
479
Beneficiaries
$1,237
Cost/Patient
Risk Score Breakdown 18/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
-68%
Opioid rate vs peers
3.0% vs 9.2% avg
+72%
Cost per patient vs peers
$1,237 vs $719 avg
+35%
Brand preference vs peers
9.0% vs 6.7% 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
274
Opioid Claims
$7,000
Opioid Cost
7.7%
Long-Acting Rate
Brand vs Generic
Brand: 826 claims · $468K
Generic: 8,379 claims · $121K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 85 | $79K |
| Semaglutide | 58 | $57K |
| Fluticasone/Umeclidin/Vilanter | 39 | $34K |
| Dulaglutide | 33 | $33K |
| Insulin Detemir | 31 | $31K |
| Insulin Degludec | 11 | $30K |
| Rivaroxaban | 31 | $19K |
| Fluticasone Propion/Salmeterol | 30 | $18K |
| Insulin Degludec | 11 | $17K |
| Empagliflozin | 18 | $13K |
| Insulin Glargine,hum.Rec.Anlog | 21 | $13K |
| Dapagliflozin Propanediol | 20 | $12K |
| Varicella-Zoster Ge/As01b/Pf | 51 | $11K |
| Sitagliptin Phos/Metformin Hcl | 13 | $8,017 |
| Insulin Glargine,hum.Rec.Anlog | 16 | $7,406 |
Prescribing Profile
Patient Profile
73
Avg Age
38%
Female
0.99
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