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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 →

Llewellyn SimonM.D.

Internal Medicine · Lake Providence, LA 71254

NPI: 1063494128

Share:𝕏fin

30

🟠 Elevated

🤖 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

Elevated cost per beneficiaryHigh antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberextreme_fills_per_patient

Risk indicators are statistical patterns, not allegations. Learn more

16,346

Total Claims

$2.5M

Drug Cost

420

Beneficiaries

$5,983

Cost/Patient

Risk Score Breakdown 30/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8
High fills per patient+5
Cost per patient outlier+3

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

+265%

Opioid rate vs peers

8.2% vs 2.2% avg

+324%

Cost per patient vs peers

$5,983 vs $1,411 avg

+87%

Brand preference vs peers

19.9% 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

8.2%

Opioid Rate

1,337

Opioid Claims

$30K

Opioid Cost

2.0%

Long-Acting Rate

Brand vs Generic

80% generic

Brand: 3,223 claims · $2.2M

Generic: 12,976 claims · $289K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Dapagliflozin Propanediol580$386K
Tirzepatide301$322K
Adalimumab26$190K
Rivaroxaban262$163K
Dulaglutide138$130K
Fluticasone/Umeclidin/Vilanter172$118K
Empagliflozin69$67K
Apixaban130$66K
Insulin Glargine,hum.Rec.Anlog80$60K
Insulin Aspart Prot/Insuln Asp37$42K
Sitagliptin Phosphate63$37K
Rifaximin11$37K
Paliperidone Palmitate11$36K
Plecanatide54$34K
Lipase/Protease/Amylase19$31K

Prescribing Profile

187

Unique Drugs

$758K

IRA Negotiated Drugs

$473K

GLP-1 Drugs

30.0

Anomaly Score

Patient Profile

70

Avg Age

57%

Female

1.55

Avg Risk Score

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📍 LA Prescribers🩺 Internal Medicine🔴 All Flagged Providers🔍 Risk Explorer💊 Opioid Analysis📊 Peer Comparison📋 Methodology🔍 Search Providers

Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About