⚠️

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 →

Kelvin WadeM.D.

Internal Medicine · Monroe, LA 71201

NPI: 1043334089

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38

🟠 Elevated

🤖 ML Fraud Detection Score: 95%

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-prescriberextreme_fills_per_patient

Risk indicators are statistical patterns, not allegations. Learn more

10,231

Total Claims

$835K

Drug Cost

295

Beneficiaries

$2,831

Cost/Patient

Risk Score Breakdown 38/100

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

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

+554%

Opioid rate vs peers

14.6% vs 2.2% avg

+101%

Cost per patient vs peers

$2,831 vs $1,411 avg

-17%

Brand preference vs peers

8.8% 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.

Opioid Prescribing

14.6%

Opioid Rate

1,498

Opioid Claims

$41K

Opioid Cost

3.7%

Long-Acting Rate

Brand vs Generic

91% generic

Brand: 894 claims · $657K

Generic: 9,257 claims · $175K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban143$116K
Tirzepatide54$58K
Sacubitril/Valsartan56$56K
Empagliflozin43$40K
Semaglutide28$29K
Hydrocodone/Acetaminophen1,007$28K
Insulin Glargine,hum.Rec.Anlog49$23K
Sitagliptin Phosphate22$21K
Ipratropium/Albuterol Sulfate21$19K
Rivaroxaban14$18K
Insulin Glargine,hum.Rec.Anlog29$17K
Linaclotide20$17K
Linagliptin11$15K
Dapagliflozin Propanediol18$13K
Rivastigmine37$8,374

Prescribing Profile

142

Unique Drugs

$264K

IRA Negotiated Drugs

$87K

GLP-1 Drugs

38.0

Anomaly Score

Patient Profile

71

Avg Age

57%

Female

1.95

Avg Risk Score

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📍 LA Prescribers🩺 Internal Medicine🔴 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