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: 88%
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
28,766
Total Claims
$3.9M
Drug Cost
698
Beneficiaries
$5,557
Cost/Patient
Risk Score Breakdown 59/100
Score components are additive. Read full methodology
Peer Comparison vs. 18,720 Cardiology providers
+265%
Cost per patient vs peers
$5,557 vs $1,524 avg
+11%
Brand preference vs peers
15.1% vs 13.7% 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
8.6%
Opioid Rate
2,471
Opioid Claims
$125K
Opioid Cost
4.0%
Long-Acting Rate
Brand vs Generic
Brand: 4,336 claims · $3.3M
Generic: 24,333 claims · $528K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Dulaglutide | 372 | $437K |
| Apixaban | 452 | $306K |
| Rivaroxaban | 292 | $226K |
| Empagliflozin | 259 | $202K |
| Fluticasone/Umeclidin/Vilanter | 239 | $186K |
| Sacubitril/Valsartan | 213 | $178K |
| Macitentan | 12 | $153K |
| Evolocumab | 161 | $125K |
| Semaglutide | 83 | $97K |
| Ticagrelor | 149 | $84K |
| Tirzepatide | 49 | $54K |
| Oxycodone Hcl/Acetaminophen | 23 | $50K |
| Icosapent Ethyl | 101 | $49K |
| Linaclotide | 89 | $49K |
| Dapagliflozin Propanediol | 53 | $42K |
Prescribing Profile
Patient Profile
72
Avg Age
54%
Female
1.95
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