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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 →

Lance HamiltonM.D.

Internal Medicine · Bentonville, AR 72712

NPI: 1053309898

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24

🟡 Moderate

🤖 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 antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberHigh fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

17,567

Total Claims

$1.3M

Drug Cost

705

Beneficiaries

$1,776

Cost/Patient

Risk Score Breakdown 24/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8
High fills per patient+3

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

+47%

Opioid rate vs peers

3.3% vs 2.2% avg

+26%

Cost per patient vs peers

$1,776 vs $1,411 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

🤖

Our machine learning model — trained on 281 confirmed fraud cases — gives this provider a "Very High" fraud-pattern score. All 20 decision trees in our ensemble model agree that this provider's prescribing patterns resemble those of confirmed fraud cases. This is a statistical finding, not an accusation.

⚠️

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

3.3%

Opioid Rate

579

Opioid Claims

$11K

Opioid Cost

5.0%

Long-Acting Rate

Brand vs Generic

100% generic

Brand: 0 claims · $0

Generic: 15,015 claims · $397K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban564$161K
Dextromethorphan Hbr/Quinidine141$98K
Vibegron284$66K
Insulin Detemir133$50K
Rivaroxaban160$42K
Glatiramer Acetate12$31K
Insulin Aspart94$30K
Dulaglutide34$26K
Sacubitril/Valsartan74$25K
Fluticasone/Umeclidin/Vilanter40$24K
Mirabegron112$23K
Duloxetine Hcl427$21K
Divalproex Sodium364$21K
Insulin Glargine,hum.Rec.Anlog43$14K
Sitagliptin Phosphate51$13K

Prescribing Profile

187

Unique Drugs

$281K

IRA Negotiated Drugs

$26K

GLP-1 Drugs

24.0

Anomaly Score

Patient Profile

76

Avg Age

61%

Female

2.33

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