⚠️

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 →

Ronald FejeranDO

Internal Medicine · Tazewell, TN 37879

NPI: 1073518288

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41

🟠 Elevated

🤖 ML Fraud Detection Score: 98%

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

Learn more →

Risk Flags

High opioid rate vs specialty peersElevated cost per beneficiaryHigh antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberExtreme fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

14,575

Total Claims

$1.5M

Drug Cost

253

Beneficiaries

$5,907

Cost/Patient

Risk Score Breakdown 41/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate vs specialty peers+10
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

+591%

Opioid rate vs peers

15.5% vs 2.2% avg

+319%

Cost per patient vs peers

$5,907 vs $1,411 avg

+25%

Brand preference vs peers

13.3% 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.

🔎 Data Overview

🤖

Our machine learning model — trained on 281 confirmed fraud cases — gives this provider a "Very High" fraud-pattern score. All 20 decision trees in our ensemble model agree that this provider's prescribing patterns resemble those of confirmed fraud cases. This is a statistical finding, not an accusation.

⚠️

Opioid prescribing rate is 591% above the average for Internal Medicine providers. While some providers legitimately treat pain-heavy populations, deviations of this magnitude are rare and warrant examination.

⚠️

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

15.5%

Opioid Rate

2,255

Opioid Claims

$90K

Opioid Cost

7.7%

Long-Acting Rate

Brand vs Generic

87% generic

Brand: 1,924 claims · $1.2M

Generic: 12,578 claims · $259K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Semaglutide107$133K
Tiotropium Bromide101$99K
Empagliflozin64$83K
Fluticasone/Vilanterol123$74K
Fluticasone/Umeclidin/Vilanter70$69K
Icosapent Ethyl121$56K
Apixaban47$46K
Dapagliflozin Propanediol43$38K
Hydrocodone/Acetaminophen1,300$38K
Tiotropium Bromide42$34K
Sitagliptin Phosphate23$34K
Dulaglutide20$32K
Insulin Glargine,hum.Rec.Anlog39$31K
Fluticasone Propionate92$28K
Budesonide/Glycopyr/Formoterol26$26K

Prescribing Profile

139

Unique Drugs

$201K

IRA Negotiated Drugs

$165K

GLP-1 Drugs

41.0

Anomaly Score

Patient Profile

65

Avg Age

53%

Female

1.41

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