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: 90%
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
42,105
Total Claims
$2.3M
Drug Cost
1,187
Beneficiaries
$1,971
Cost/Patient
Risk Score Breakdown 38/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+480%
Opioid rate vs peers
15.0% vs 2.6% avg
+85%
Cost per patient vs peers
$1,971 vs $1,068 avg
-14%
Brand preference vs peers
7.7% vs 9.0% 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
15.0%
Opioid Rate
6,302
Opioid Claims
$171K
Opioid Cost
1.5%
Long-Acting Rate
Brand vs Generic
Brand: 3,242 claims · $1.5M
Generic: 38,693 claims · $818K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 256 | $124K |
| Hydrocodone/Acetaminophen | 3,649 | $114K |
| Tirzepatide | 96 | $112K |
| Semaglutide | 70 | $97K |
| Dapagliflozin Propanediol | 94 | $77K |
| Budesonide/Formoterol Fumarate | 134 | $67K |
| Rivaroxaban | 97 | $66K |
| Linaclotide | 125 | $64K |
| Sitagliptin Phosphate | 81 | $61K |
| Mirabegron | 106 | $60K |
| Fluticasone/Umeclidin/Vilanter | 71 | $60K |
| Empagliflozin | 61 | $53K |
| Buprenorphine Hcl/Naloxone Hcl | 175 | $53K |
| Insulin Glargine,hum.Rec.Anlog | 49 | $34K |
| Sitagliptin Phos/Metformin Hcl | 42 | $32K |
Prescribing Profile
Patient Profile
69
Avg Age
60%
Female
1.26
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