⚠️

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 →

Paul RoncoM.D.

Internal Medicine · Bangor, ME 4401

NPI: 1033152582

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21

🟡 Moderate

🤖 ML Fraud Detection Score: 89%

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

Learn more →

Risk Flags

High antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

14,264

Total Claims

$1.9M

Drug Cost

831

Beneficiaries

$2,337

Cost/Patient

Risk Score Breakdown 21/100

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

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

+66%

Cost per patient vs peers

$2,337 vs $1,411 avg

+29%

Brand preference vs peers

13.7% 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 89% 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

1,014

Opioid Claims

$95K

Opioid Cost

11.3%

Long-Acting Rate

Brand vs Generic

86% generic

Brand: 1,935 claims · $1.5M

Generic: 12,155 claims · $446K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban269$337K
Semaglutide74$88K
Insulin Glargine,hum.Rec.Anlog92$72K
Sitagliptin Phosphate66$69K
Apremilast13$62K
Rivaroxaban44$55K
Fluticasone/Umeclidin/Vilanter48$43K
Insulin Aspart32$42K
Ipratropium/Albuterol Sulfate37$40K
Dulaglutide25$38K
Dupilumab11$38K
Empagliflozin29$34K
Insulin Glargine,hum.Rec.Anlog62$32K
Tiotropium Bromide26$31K
Fluticasone Propion/Salmeterol36$30K

Prescribing Profile

167

Unique Drugs

$553K

IRA Negotiated Drugs

$126K

GLP-1 Drugs

21.0

Anomaly Score

Patient Profile

72

Avg Age

43%

Female

1.46

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