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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 →

Amedee Lefebre- FernandezMD

Internal Medicine · Penuelas, PR 00624

NPI: 1013073857

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21

🟡 Moderate

🤖 ML Fraud Detection Score: 91%

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

Learn more →

Risk Flags

Elevated antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberExtreme fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

20,010

Total Claims

$1.7M

Drug Cost

552

Beneficiaries

$3,043

Cost/Patient

Risk Score Breakdown 21/100

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

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-62%

Opioid rate vs peers

0.8% vs 2.2% avg

+116%

Cost per patient vs peers

$3,043 vs $1,411 avg

+38%

Brand preference vs peers

14.6% 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.

🔎 Data Overview

🤖

ML fraud detection score of 91% indicates prescribing patterns with significant similarity to confirmed fraud cases. 18 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

0.8%

Opioid Rate

170

Opioid Claims

$2,078

Opioid Cost

Long-Acting Rate

Brand vs Generic

85% generic

Brand: 2,846 claims · $1.4M

Generic: 16,613 claims · $269K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Insulin Glargine,hum.Rec.Anlog215$138K
Sitagliptin Phos/Metformin Hcl111$112K
Sitagliptin Phosphate120$105K
Apixaban111$100K
Dapagliflozin Propanediol84$79K
Empagliflozin81$69K
Insulin Lispro82$67K
Ticagrelor72$60K
Insulin Aspart61$54K
Insulin Nph Hum/Reg Insulin Hm111$47K
Sitagliptin Phos/Metformin Hcl37$43K
Levothyroxine Sodium534$41K
Insulin Nph Hum/Reg Insulin Hm84$38K
Linagliptin/Metformin Hcl40$31K
Linagliptin27$29K

Prescribing Profile

178

Unique Drugs

$444K

IRA Negotiated Drugs

21.0

Anomaly Score

Patient Profile

73

Avg Age

53%

Female

1.62

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