⚠️

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 →

Boris MelnikauM.D.

Internal Medicine · Nyack, NY 10960

NPI: 1043476062

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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

10,010

Total Claims

$759K

Drug Cost

177

Beneficiaries

$4,286

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

+204%

Cost per patient vs peers

$4,286 vs $1,411 avg

+34%

Brand preference vs peers

14.3% 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

178

Opioid Claims

$5,873

Opioid Cost

23.0%

Long-Acting Rate

Brand vs Generic

86% generic

Brand: 1,423 claims · $535K

Generic: 8,535 claims · $219K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban191$59K
Bictegrav/Emtricit/Tenofov Ala15$50K
Rifaximin20$31K
Risperidone Microspheres35$30K
Apremilast13$22K
Sitagliptin Phosphate77$22K
Rivaroxaban67$20K
Memantine Hcl326$18K
Mirabegron61$14K
Empagliflozin37$11K
Insulin Aspart64$11K
Sacubitril/Valsartan25$9,471
Divalproex Sodium225$9,208
Meropenem40$8,711
Aripiprazole124$8,692

Prescribing Profile

139

Unique Drugs

$138K

IRA Negotiated Drugs

$8,096

GLP-1 Drugs

36.0

Anomaly Score

Patient Profile

77

Avg Age

54%

Female

2.81

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