⚠️

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 →

Miguel SabedraM.D.

Family Practice · Marlow, OK 73055

NPI: 1003881921

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24

🟡 Moderate

🤖 ML Fraud Detection Score: 87%

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

Learn more →

Risk Flags

High antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberHigh fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

10,314

Total Claims

$979K

Drug Cost

481

Beneficiaries

$2,035

Cost/Patient

Risk Score Breakdown 24/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8
High fills per patient+3

Score components are additive. Read full methodology

Peer Comparison vs. 106,889 Family Practice providers

+202%

Opioid rate vs peers

7.8% vs 2.6% avg

+91%

Cost per patient vs peers

$2,035 vs $1,068 avg

+60%

Brand preference vs peers

14.4% 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 87% indicates prescribing patterns with significant similarity to confirmed fraud cases. 17 out of 20 decision trees flagged this provider.

💊

Opioid rate is 202% above Family Practice peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.

⚠️

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

7.8%

Opioid Rate

804

Opioid Claims

$40K

Opioid Cost

11.2%

Long-Acting Rate

Brand vs Generic

86% generic

Brand: 1,477 claims · $790K

Generic: 8,754 claims · $184K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Empagliflozin151$112K
Apixaban159$100K
Sitagliptin Phosphate72$70K
Rivaroxaban68$47K
Semaglutide43$42K
Aripiprazole Lauroxil13$42K
Pimavanserin Tartrate16$37K
Fluticasone/Umeclidin/Vilanter34$31K
Insulin Glargine,hum.Rec.Anlog56$30K
Dulaglutide23$30K
Insulin Aspart31$24K
Tirzepatide15$19K
Oxycodone Myristate20$16K
Budesonide/Formoterol Fumarate25$14K
Insulin Detemir31$13K

Prescribing Profile

138

Unique Drugs

$363K

IRA Negotiated Drugs

$91K

GLP-1 Drugs

24.0

Anomaly Score

Patient Profile

74

Avg Age

56%

Female

1.16

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