⚠️

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 →

David GreenM.D.

Geriatric Medicine · Dallas, TX 75243

NPI: 1053335844

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24

🟡 Moderate

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

Risk indicators are statistical patterns, not allegations. Learn more

9,080

Total Claims

$695K

Drug Cost

292

Beneficiaries

$2,380

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. 1,825 Geriatric Medicine providers

+16%

Opioid rate vs peers

3.0% vs 2.6% avg

+92%

Cost per patient vs peers

$2,380 vs $1,237 avg

+4%

Brand preference vs peers

9.5% vs 9.2% 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

3.0%

Opioid Rate

269

Opioid Claims

$13K

Opioid Cost

18.2%

Long-Acting Rate

Brand vs Generic

91% generic

Brand: 860 claims · $442K

Generic: 8,194 claims · $252K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Pimavanserin Tartrate28$124K
Apixaban279$114K
Glatiramer Acetate11$52K
Linagliptin59$26K
Insulin Aspart12$19K
Mirabegron29$16K
Memantine Hcl303$13K
Rivaroxaban31$9,446
Fluticasone/Umeclidin/Vilanter12$8,105
Sitagliptin Phosphate14$7,173
Cinacalcet Hcl11$6,612
Rivastigmine28$6,215
Aripiprazole44$6,181
Sildenafil Citrate13$6,041
Atorvastatin Calcium425$6,012

Prescribing Profile

137

Unique Drugs

$149K

IRA Negotiated Drugs

24.0

Anomaly Score

Patient Profile

84

Avg Age

71%

Female

2.11

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