⚠️

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 →

Evangeline EmesueM.D

Internal Medicine · Harrisburg, PA 17110

NPI: 1033553540

Share:

33

🟠 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 cost outlier (population + peer)High antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberExtreme fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

17,526

Total Claims

$2.3M

Drug Cost

249

Beneficiaries

$9,330

Cost/Patient

Risk Score Breakdown 33/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8
Cost per patient outlier+6
High fills per patient+5

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-65%

Opioid rate vs peers

0.8% vs 2.2% avg

+561%

Cost per patient vs peers

$9,330 vs $1,411 avg

+37%

Brand preference vs peers

14.5% 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.

💰

Cost per patient is 561% above the specialty average. Extreme cost outliers may indicate prescribing of unnecessarily expensive brand-name drugs or inappropriate drug utilization.

⚠️

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

136

Opioid Claims

$8,842

Opioid Cost

Long-Acting Rate

Brand vs Generic

86% generic

Brand: 2,542 claims · $1.1M

Generic: 14,950 claims · $1.2M

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban300$126K
Dulaglutide120$116K
Atorvastatin Calcium1,138$96K
Pantoprazole Sodium463$80K
Empagliflozin149$78K
Fluticasone/Umeclidin/Vilanter114$76K
Dapagliflozin Propanediol203$74K
Dimethyl Fumarate13$70K
Metformin Hcl25$69K
Linagliptin159$69K
Rivaroxaban126$57K
Omeprazole452$51K
Duloxetine Hcl314$49K
Aripiprazole83$44K
Gabapentin687$35K

Prescribing Profile

176

Unique Drugs

$355K

IRA Negotiated Drugs

$169K

GLP-1 Drugs

33.0

Anomaly Score

Patient Profile

76

Avg Age

66%

Female

2.83

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