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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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Tammy Durham-BoringDO

Hospice and Palliative Care · Fishers, IN 46037

NPI: 1023098639

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26

🟡 Moderate

🤖 ML Fraud Detection Score: 88%

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-prescriberextreme_fills_per_patient

Risk indicators are statistical patterns, not allegations. Learn more

29,807

Total Claims

$2.0M

Drug Cost

474

Beneficiaries

$4,117

Cost/Patient

Risk Score Breakdown 26/100

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

Score components are additive. Read full methodology

Peer Comparison vs. 1,080 Hospice and Palliative Care providers

-91%

Opioid rate vs peers

3.0% vs 33.2% avg

+574%

Cost per patient vs peers

$4,117 vs $611 avg

+121%

Brand preference vs peers

14.9% vs 6.7% 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

3.0%

Opioid Rate

882

Opioid Claims

$17K

Opioid Cost

6.1%

Long-Acting Rate

Brand vs Generic

85% generic

Brand: 4,422 claims · $1.5M

Generic: 25,330 claims · $462K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban1,004$241K
Paliperidone Palmitate43$119K
Rifaximin68$105K
Bictegrav/Emtricit/Tenofov Ala18$72K
Insulin Glargine,hum.Rec.Anlog169$53K
Linagliptin211$46K
Fluticasone/Umeclidin/Vilanter74$44K
Dulaglutide59$41K
Dextromethorphan Hbr/Quinidine58$39K
Insulin Glargine,hum.Rec.Anlog274$38K
Empagliflozin108$33K
Tiotropium Bromide44$24K
Atorvastatin Calcium2,263$24K
Sitagliptin Phosphate82$23K
Dapagliflozin Propanediol108$23K

Prescribing Profile

221

Unique Drugs

$385K

IRA Negotiated Drugs

$41K

GLP-1 Drugs

26.0

Anomaly Score

Patient Profile

72

Avg Age

54%

Female

3.20

Avg Risk Score

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📍 IN Prescribers🩺 Hospice and Palliative Care🔴 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