⚠️

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 →

Ruth Guilinger

Internal Medicine · Pittsburgh, PA 15212

NPI: 1043365893

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36

🟠 Elevated

🤖 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

High long-acting opioid rate vs peersHigh antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberExtreme fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

20,642

Total Claims

$625K

Drug Cost

391

Beneficiaries

$1,598

Cost/Patient

Risk Score Breakdown 36/100

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

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-21%

Opioid rate vs peers

1.8% vs 2.2% avg

+13%

Cost per patient vs peers

$1,598 vs $1,411 avg

-10%

Brand preference vs peers

9.6% 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.

⚠️

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

1.8%

Opioid Rate

366

Opioid Claims

$16K

Opioid Cost

32.0%

Long-Acting Rate

Brand vs Generic

90% generic

Brand: 1,973 claims · $524K

Generic: 18,613 claims · $100K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban379$68K
Dulaglutide67$64K
Fluticasone/Umeclidin/Vilanter49$27K
Sacubitril/Valsartan161$26K
Empagliflozin121$22K
Rivaroxaban110$21K
Insulin Glargine,hum.Rec.Anlog63$19K
Sitagliptin Phosphate125$17K
Rifaximin16$12K
Insulin Glargine,hum.Rec.Anlog32$9,629
Buprenorphine41$7,719
Tiotropium Bromide13$6,826
Atorvastatin Calcium1,491$5,036
Fluticasone/Vilanterol12$4,494
Carvedilol Phosphate47$4,018

Prescribing Profile

145

Unique Drugs

$154K

IRA Negotiated Drugs

$64K

GLP-1 Drugs

36.0

Anomaly Score

Patient Profile

75

Avg Age

67%

Female

2.95

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