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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.

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Mary EscheteMD

Internal Medicine · Houma, LA 70363

NPI: 1003856477

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33

🟠 Elevated

🤖 ML Fraud Detection Score: 95%

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

Learn more →

Risk Flags

High cost outlier (population + peer)High antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberextreme_fills_per_patient

Risk indicators are statistical patterns, not allegations. Learn more

14,471

Total Claims

$5.5M

Drug Cost

411

Beneficiaries

$13K

Cost/Patient

Risk Score Breakdown 33/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8
Cost per patient outlier+6
High fills per patient+5

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

+123%

Opioid rate vs peers

5.0% vs 2.2% avg

+853%

Cost per patient vs peers

$13K vs $1,411 avg

+84%

Brand preference vs peers

19.6% vs 10.6% 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

5.0%

Opioid Rate

722

Opioid Claims

$18K

Opioid Cost

5.8%

Long-Acting Rate

Brand vs Generic

80% generic

Brand: 2,805 claims · $5.1M

Generic: 11,541 claims · $439K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Bictegrav/Emtricit/Tenofov Ala173$712K
Dolutegravir/Rilpivirine197$705K
Darunavir/Cob/Emtri/Tenof Alaf74$369K
Dolutegravir Sodium95$282K
Somatropin12$250K
Darunavir/Cobicistat84$238K
Elviteg/Cob/Emtri/Tenof Alafen58$238K
Doravirine/Lamivu/Tenofov Diso71$196K
Emtricitab/Rilpiviri/Tenof Ala47$175K
Abacavir/Dolutegravir/Lamivudi42$162K
Raltegravir Potassium78$155K
Emtricitabine/Tenofov Alafenam55$130K
Dolutegravir Sodium/Lamivudine41$121K
Empagliflozin70$81K
Doravirine43$79K

Prescribing Profile

213

Unique Drugs

$291K

IRA Negotiated Drugs

$94K

GLP-1 Drugs

33.0

Anomaly Score

Patient Profile

66

Avg Age

48%

Female

2.11

Avg Risk Score

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📍 LA Prescribers🩺 Internal Medicine🔴 All Flagged Providers🔍 Risk Explorer💊 Opioid Analysis📊 Peer Comparison📋 Methodology🔍 Search Providers

Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About