⚠️

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 →

Thomas KarelisMD

Internal Medicine · Hazard, KY 41701

NPI: 1053324129

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44

🟠 Elevated

Risk Flags

Extreme opioid rate vs specialty peers95th percentile opioid prescribingHigh fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

9,189

Total Claims

$417K

Drug Cost

461

Beneficiaries

$904

Cost/Patient

Risk Score Breakdown 44/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate vs specialty peers+25
Opioid rate (national percentile)+10
High fills per patient+3

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

+2224%

Opioid rate vs peers

52.0% vs 2.2% avg

-36%

Cost per patient vs peers

$904 vs $1,411 avg

-73%

Brand preference vs peers

2.8% vs 10.6% avg

⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.

🔎 Data Overview

⚠️

Opioid prescribing rate is 2,224% above the average for Internal Medicine providers. While some providers legitimately treat pain-heavy populations, deviations of this magnitude are rare and warrant examination.

Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.

Opioid Prescribing

52.0%

Opioid Rate

4,780

Opioid Claims

$276K

Opioid Cost

14.0%

Long-Acting Rate

This provider's opioid prescribing rate of 52.0% is above the 20% threshold that CMS considers elevated.

Brand vs Generic

97% generic

Brand: 261 claims · $167K

Generic: 8,928 claims · $250K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Oxycodone Myristate113$91K
Oxycodone Hcl/Acetaminophen2,437$90K
Gabapentin2,457$38K
Hydrocodone/Acetaminophen1,139$29K
Oxycodone Hcl37$28K
Pregabalin19$22K
Pregabalin433$19K
Morphine Sulfate466$16K
Naloxone Hcl187$15K
Oxycodone Hcl440$11K
Tizanidine Hcl488$8,581
Lidocaine32$4,800
Buprenorphine13$4,007
Baclofen105$3,501
Fentanyl12$3,096

Prescribing Profile

22

Unique Drugs

44.0

Anomaly Score

Patient Profile

65

Avg Age

49%

Female

1.55

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