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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 →

Harold SmartDO

Family Practice · Carthage, MO 64836

NPI: 1063441632

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31

🟠 Elevated

🤖 ML Fraud Detection Score: Very High

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

Learn more →

Risk Flags

Elevated long-acting opioid rateHigh antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberextreme_fills_per_patient

Risk indicators are statistical patterns, not allegations. Learn more

46,368

Total Claims

$2.1M

Drug Cost

908

Beneficiaries

$2,280

Cost/Patient

Risk Score Breakdown 31/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8
High fills per patient+5
Long-acting opioid rate+4

Score components are additive. Read full methodology

Peer Comparison vs. 106,889 Family Practice providers

+34%

Opioid rate vs peers

3.4% vs 2.6% avg

+114%

Cost per patient vs peers

$2,280 vs $1,068 avg

+1%

Brand preference vs peers

9.1% vs 9.0% 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

1,599

Opioid Claims

$77K

Opioid Cost

19.0%

Long-Acting Rate

Brand vs Generic

91% generic

Brand: 4,219 claims · $1.6M

Generic: 42,009 claims · $478K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban491$127K
Valbenazine Tosylate12$97K
Sitagliptin Phosphate198$84K
Semaglutide65$82K
Rivaroxaban325$80K
Linaclotide127$79K
Empagliflozin53$65K
Liraglutide27$61K
Dapagliflozin Propanediol88$56K
Budesonide/Formoterol Fumarate88$50K
Fluticasone/Umeclidin/Vilanter68$49K
Insulin Aspart31$46K
Mirabegron220$40K
Brexpiprazole202$39K
Ipratropium/Albuterol Sulfate50$35K

Prescribing Profile

258

Unique Drugs

$473K

IRA Negotiated Drugs

$169K

GLP-1 Drugs

31.0

Anomaly Score

Patient Profile

72

Avg Age

51%

Female

1.34

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