⚠️

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 →

Toby LongM.D.

Internal Medicine · Wenatchee, WA 98801

NPI: 1033116215

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15

🟡 Moderate

🤖 ML Fraud Detection Score: 90%

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-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

13,489

Total Claims

$1.3M

Drug Cost

773

Beneficiaries

$1,620

Cost/Patient

Risk Score Breakdown 15/100

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

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

+218%

Opioid rate vs peers

7.1% vs 2.2% avg

+15%

Cost per patient vs peers

$1,620 vs $1,411 avg

+2%

Brand preference vs peers

10.9% 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.

🔎 Data Overview

🤖

ML fraud detection score of 90% indicates prescribing patterns with significant similarity to confirmed fraud cases. 18 out of 20 decision trees flagged this provider.

💊

Opioid rate is 218% above Internal Medicine peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.

⚠️

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

7.1%

Opioid Rate

961

Opioid Claims

$32K

Opioid Cost

14.5%

Long-Acting Rate

Brand vs Generic

89% generic

Brand: 1,449 claims · $986K

Generic: 11,905 claims · $259K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Dulaglutide167$311K
Apixaban89$82K
Rivaroxaban52$72K
Semaglutide61$72K
Sitagliptin Phosphate53$58K
Insulin Glargine,hum.Rec.Anlog82$48K
Evolocumab75$48K
Budesonide/Formoterol Fumarate61$43K
Linaclotide24$23K
Insulin Aspart23$18K
Oxycodone Hcl25$17K
Insulin Glargine,hum.Rec.Anlog26$15K
Fluticasone Propion/Salmeterol11$12K
Alirocumab15$11K
Atorvastatin Calcium618$10K

Prescribing Profile

147

Unique Drugs

$230K

IRA Negotiated Drugs

$383K

GLP-1 Drugs

15.0

Anomaly Score

Patient Profile

74

Avg Age

52%

Female

1.06

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