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: 89%
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
29,031
Total Claims
$2.6M
Drug Cost
654
Beneficiaries
$3,968
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
-43%
Opioid rate vs peers
1.3% vs 2.2% avg
+181%
Cost per patient vs peers
$3,968 vs $1,411 avg
+55%
Brand preference vs peers
16.5% 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
1.3%
Opioid Rate
373
Opioid Claims
$16K
Opioid Cost
16.4%
Long-Acting Rate
Brand vs Generic
Brand: 4,771 claims · $1.8M
Generic: 24,146 claims · $817K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 563 | $151K |
| Adalimumab | 15 | $109K |
| Rivaroxaban | 362 | $95K |
| Rifaximin | 92 | $92K |
| Dulaglutide | 99 | $86K |
| Valbenazine Tosylate | 23 | $80K |
| Abacavir/Dolutegravir/Lamivudi | 20 | $75K |
| Mirabegron | 297 | $66K |
| Linagliptin | 240 | $62K |
| Glatiramer Acetate | 13 | $61K |
| Fluticasone/Vilanterol | 155 | $60K |
| Bictegrav/Emtricit/Tenofov Ala | 12 | $48K |
| Insulin Glargine,hum.Rec.Anlog | 150 | $47K |
| Sitagliptin Phosphate | 159 | $43K |
| Insulin Glargine,hum.Rec.Anlog | 283 | $43K |
Prescribing Profile
Patient Profile
78
Avg Age
55%
Female
2.61
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