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 →21
🟡 Moderate
ML Fraud Detection Score: 93%
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
21,705
Total Claims
$570K
Drug Cost
577
Beneficiaries
$987
Cost/Patient
Risk Score Breakdown 21/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
-85%
Opioid rate vs peers
0.6% vs 3.8% avg
-16%
Cost per patient vs peers
$987 vs $1,174 avg
-28%
Brand preference vs peers
6.4% vs 8.9% 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 93% 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
0.6%
Opioid Rate
121
Opioid Claims
$508
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 1,356 claims · $280K
Generic: 19,971 claims · $267K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Albuterol Sulfate | 671 | $36K |
| Insulin Glargine,hum.Rec.Anlog | 38 | $21K |
| Pen Needle, Diabetic | 274 | $18K |
| Atorvastatin Calcium | 1,789 | $14K |
| Mirabegron | 32 | $14K |
| Gabapentin | 1,136 | $14K |
| Apixaban | 15 | $13K |
| Budesonide/Formoterol Fumarate | 28 | $11K |
| Cyclosporine | 17 | $11K |
| Levothyroxine Sodium | 403 | $10K |
| Sitagliptin Phosphate | 17 | $9,063 |
| Sitagliptin Phos/Metformin Hcl | 17 | $8,917 |
| Fluticasone Propion/Salmeterol | 28 | $8,105 |
| Clobetasol Propionate | 62 | $7,920 |
| Linaclotide | 16 | $7,901 |
Prescribing Profile
Patient Profile
73
Avg Age
58%
Female
2.00
Avg Risk Score
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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