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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.

Read our methodology →

Sam GhoubrialMD

Internal Medicine · Wadsworth, OH 44281

NPI: 1003892217

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36

🟠 Elevated

🤖 ML Fraud Detection Score: Very High

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 peersHigh antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberextreme_fills_per_patient

Risk indicators are statistical patterns, not allegations. Learn more

20,380

Total Claims

$1.8M

Drug Cost

586

Beneficiaries

$3,084

Cost/Patient

Risk Score Breakdown 36/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Long-acting opioid rate+8
Opioid + benzodiazepine combo+8
High fills per patient+5

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-47%

Opioid rate vs peers

1.2% vs 2.2% avg

+119%

Cost per patient vs peers

$3,084 vs $1,411 avg

+31%

Brand preference vs peers

13.9% 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

1.2%

Opioid Rate

243

Opioid Claims

$6,021

Opioid Cost

23.0%

Long-Acting Rate

Brand vs Generic

86% generic

Brand: 2,822 claims · $1.2M

Generic: 17,471 claims · $583K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Paliperidone Palmitate60$171K
Apixaban346$142K
Dulaglutide115$93K
Rivaroxaban195$74K
Risperidone Microspheres67$57K
Insulin Glargine,hum.Rec.Anlog208$40K
Posaconazole11$34K
Empagliflozin44$31K
Sitagliptin Phosphate49$31K
Insulin Lispro65$26K
Atorvastatin Calcium1,074$25K
Olanzapine373$23K
Insulin Glargine,hum.Rec.Anlog136$22K
Lurasidone Hcl24$22K
Divalproex Sodium388$21K

Prescribing Profile

209

Unique Drugs

$309K

IRA Negotiated Drugs

$93K

GLP-1 Drugs

36.0

Anomaly Score

Patient Profile

73

Avg Age

50%

Female

2.35

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