⚠️

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 →

Ralph TremaglioMD

Internal Medicine · Naugatuck, CT 6770

NPI: 1053360305

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9

🟢 Low

🤖 ML Fraud Detection Score: 88%

Machine learning model identifies prescribing patterns consistent with confirmed fraud cases. This is a statistical indicator, not an accusation.

Learn more →

Risk Flags

Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

8,967

Total Claims

$933K

Drug Cost

540

Beneficiaries

$1,728

Cost/Patient

Risk Score Breakdown 9/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid + benzodiazepine combo+8

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

+50%

Opioid rate vs peers

3.4% vs 2.2% avg

+22%

Cost per patient vs peers

$1,728 vs $1,411 avg

+7%

Brand preference vs peers

11.4% 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.

Opioid Prescribing

3.4%

Opioid Rate

301

Opioid Claims

$15K

Opioid Cost

7.0%

Long-Acting Rate

Brand vs Generic

89% generic

Brand: 1,003 claims · $704K

Generic: 7,827 claims · $222K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban88$77K
Rivaroxaban59$58K
Dapagliflozin Propanediol49$58K
Sitagliptin Phosphate42$56K
Empagliflozin31$47K
Linagliptin35$44K
Dolutegravir/Rilpivirine11$35K
Fluticasone/Umeclidin/Vilanter30$25K
Dulaglutide19$20K
Budesonide/Formoterol Fumarate38$19K
Insulin Glargine,hum.Rec.Anlog23$18K
Insulin Degludec13$16K
Fluticasone Propion/Salmeterol26$14K
Insulin Detemir11$10K
Dexlansoprazole28$7,600

Prescribing Profile

170

Unique Drugs

$297K

IRA Negotiated Drugs

$20K

GLP-1 Drugs

9.0

Anomaly Score

Patient Profile

75

Avg Age

52%

Female

1.02

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