⚠️

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 →

Joseph TeichgraeberMD

Internal Medicine · Sparks, NV 89436

NPI: 1023070091

Share:

32

🟠 Elevated

🤖 ML Fraud Detection Score: 85%

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

Learn more →

Risk Flags

High opioid rate vs specialty peersHigh antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

13,797

Total Claims

$1.3M

Drug Cost

982

Beneficiaries

$1,328

Cost/Patient

Risk Score Breakdown 32/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate vs specialty peers+10
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

+557%

Opioid rate vs peers

14.7% vs 2.2% avg

-6%

Cost per patient vs peers

$1,328 vs $1,411 avg

+8%

Brand preference vs peers

11.5% 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 85% indicates prescribing patterns with significant similarity to confirmed fraud cases. 17 out of 20 decision trees flagged this provider.

⚠️

Opioid prescribing rate is 557% above the average for Internal Medicine providers. While some providers legitimately treat pain-heavy populations, deviations of this magnitude are rare and warrant examination.

⚠️

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

14.7%

Opioid Rate

2,029

Opioid Claims

$105K

Opioid Cost

14.5%

Long-Acting Rate

Brand vs Generic

89% generic

Brand: 1,574 claims · $1.0M

Generic: 12,152 claims · $277K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Empagliflozin88$117K
Apixaban97$96K
Dulaglutide42$54K
Semaglutide42$43K
Semaglutide24$43K
Insulin Glargine,hum.Rec.Anlog66$43K
Fluticasone/Umeclidin/Vilanter41$33K
Insulin Glargine,hum.Rec.Anlog39$32K
Hydrocodone/Acetaminophen790$26K
Dapagliflozin Propanediol15$26K
Mirabegron37$23K
Sitagliptin Phosphate13$21K
Rivaroxaban12$21K
Buprenorphine Hcl21$20K
Tiotropium Bromide29$19K

Prescribing Profile

162

Unique Drugs

$281K

IRA Negotiated Drugs

$141K

GLP-1 Drugs

32.0

Anomaly Score

Patient Profile

74

Avg Age

48%

Female

1.32

Avg Risk Score

Explore More

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