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
20,837
Total Claims
$449K
Drug Cost
1,051
Beneficiaries
$428
Cost/Patient
Risk Score Breakdown 24/100
Score components are additive. Read full methodology
Peer Comparison vs. 10,307 Psychiatry & Neurology providers
-68%
Cost per patient vs peers
$428 vs $1,323 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.
🔎 Data Overview
ML fraud detection score of 94% indicates prescribing patterns with significant similarity to confirmed fraud cases. 19 out of 20 decision trees flagged this provider.
This provider co-prescribes opioids and benzodiazepines — a combination carrying an FDA Black Box Warning due to increased risk of respiratory depression and death. While sometimes clinically necessary, this combination requires careful justification.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
0.1%
Opioid Rate
19
Opioid Claims
$113
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 0 claims · $0
Generic: 20,467 claims · $252K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Paliperidone Palmitate | 19 | $62K |
| Clonazepam | 4,229 | $35K |
| Cariprazine Hcl | 22 | $30K |
| Quetiapine Fumarate | 12 | $25K |
| Olanzapine | 16 | $23K |
| Amitriptyline Hcl | 1,493 | $18K |
| Lurasidone Hcl | 12 | $17K |
| Quetiapine Fumarate | 1,594 | $15K |
| Venlafaxine Hcl | 24 | $14K |
| Clorazepate Dipotassium | 78 | $12K |
| Trazodone Hcl | 1,452 | $12K |
| Gabapentin | 911 | $11K |
| Temazepam | 1,120 | $9,510 |
| Paliperidone | 29 | $8,913 |
| Venlafaxine Hcl | 639 | $8,320 |
Prescribing Profile
67
Unique Drugs
24.0
Anomaly Score
Patient Profile
62
Avg Age
54%
Female
1.96
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