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
9,931
Total Claims
$651K
Drug Cost
358
Beneficiaries
$1,819
Cost/Patient
Risk Score Breakdown 29/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
-63%
Opioid rate vs peers
3.4% vs 9.2% avg
+153%
Cost per patient vs peers
$1,819 vs $719 avg
+50%
Brand preference vs peers
10.0% 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.
🔎 Data Overview
ML fraud detection score of 90% indicates prescribing patterns with significant similarity to confirmed fraud cases. 18 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
3.4%
Opioid Rate
336
Opioid Claims
$9,703
Opioid Cost
11.0%
Long-Acting Rate
Brand vs Generic
Brand: 986 claims · $450K
Generic: 8,908 claims · $201K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 181 | $101K |
| Rivaroxaban | 69 | $37K |
| Mirabegron | 56 | $30K |
| Tiotropium Bromide | 36 | $20K |
| Empagliflozin | 19 | $12K |
| Semaglutide | 11 | $11K |
| Budesonide/Formoterol Fumarate | 17 | $8,014 |
| Sitagliptin Phosphate | 17 | $7,935 |
| Tiotropium Bromide | 20 | $7,653 |
| Ipratropium/Albuterol Sulfate | 15 | $7,577 |
| Fluticasone/Vilanterol | 18 | $7,454 |
| Memantine Hcl | 130 | $7,038 |
| Olanzapine | 281 | $6,900 |
| Levothyroxine Sodium | 498 | $6,802 |
| Linagliptin | 13 | $6,713 |
Prescribing Profile
Patient Profile
81
Avg Age
67%
Female
2.21
Avg Risk Score
Explore More
Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations of wrongdoing.Methodology · About · Dispute this data