⚠️

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 →

Spring MadoshMD

Family Practice · Marquette, MI 49855

NPI: 1003127028

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21

🟡 Moderate

🤖 ML Fraud Detection Score: 94%

Machine learning model identifies prescribing patterns consistent with confirmed fraud cases. This is a statistical indicator, not an accusation.

Learn more →

Risk Flags

High long-acting opioid rate vs peersElevated antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

1,804

Total Claims

$148K

Drug Cost

146

Beneficiaries

$1,015

Cost/Patient

Risk Score Breakdown 21/100

Low (0)Moderate (15)Elevated (30)High (50+)
Long-acting opioid rate+8
Opioid + benzodiazepine combo+8
Elderly antipsychotic prescribing+5

Score components are additive. Read full methodology

Peer Comparison vs. 106,889 Family Practice providers

-14%

Opioid rate vs peers

2.2% vs 2.6% avg

-5%

Cost per patient vs peers

$1,015 vs $1,068 avg

+64%

Brand preference vs peers

14.7% 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.

🔎 Data Overview

🤖

ML fraud detection score of 94% 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

2.2%

Opioid Rate

40

Opioid Claims

$3,140

Opioid Cost

42.5%

Long-Acting Rate

Brand vs Generic

85% generic

Brand: 263 claims · $121K

Generic: 1,522 claims · $27K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Rivaroxaban47$35K
Apixaban31$27K
Empagliflozin12$6,948
Tiotropium Bromide12$6,639
Ipratropium/Albuterol Sulfate12$5,549
Fluticasone/Vilanterol12$5,127
Fentanyl11$2,490
Atorvastatin Calcium94$1,121
Estradiol18$950
Gabapentin60$926
Levothyroxine Sodium84$898
Sertraline Hcl41$886
Albuterol Sulfate28$768
Lisinopril66$708
Pravastatin Sodium58$681

Prescribing Profile

48

Unique Drugs

$69K

IRA Negotiated Drugs

21.0

Anomaly Score

Patient Profile

72

Avg Age

60%

Female

1.07

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.Methodology · About