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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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Hugh Stoneburner

Internal Medicine · Salt Lake City, UT 84119

NPI: 1003991498

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24

🟡 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.

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Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

10,938

Total Claims

$1.1M

Drug Cost

467

Beneficiaries

$2,252

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. 110,156 Internal Medicine providers

+139%

Opioid rate vs peers

5.3% vs 2.2% avg

+60%

Cost per patient vs peers

$2,252 vs $1,411 avg

+33%

Brand preference vs peers

14.1% 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

5.3%

Opioid Rate

584

Opioid Claims

$11K

Opioid Cost

3.9%

Long-Acting Rate

Brand vs Generic

86% generic

Brand: 1,533 claims · $832K

Generic: 9,349 claims · $215K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Semaglutide113$111K
Dulaglutide74$108K
Apixaban115$97K
Tirzepatide42$45K
Insulin Glargine,hum.Rec.Anlog53$38K
Rivaroxaban21$28K
Empagliflozin23$22K
Insulin Glargine,hum.Rec.Anlog23$21K
Sitagliptin Phosphate16$20K
Umeclidinium Bromide37$18K
Fluticasone/Vilanterol24$17K
Fluticasone/Umeclidin/Vilanter21$16K
Insulin Lispro11$16K
Dapagliflozin Propanediol19$15K
Fluticasone Propion/Salmeterol18$15K

Prescribing Profile

141

Unique Drugs

$196K

IRA Negotiated Drugs

$264K

GLP-1 Drugs

24.0

Anomaly Score

Patient Profile

73

Avg Age

57%

Female

1.44

Avg Risk Score

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📍 UT 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