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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 →

Joseph SpaldingDO

Psychiatry & Neurology · Hannibal, MO 63401

NPI: 1073554085

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31

🟠 Elevated

🤖 ML Fraud Detection Score: 95%

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

Learn more →

Risk Flags

High cost outlier (population + peer)High antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberHigh fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

11,933

Total Claims

$2.7M

Drug Cost

385

Beneficiaries

$6,916

Cost/Patient

Risk Score Breakdown 31/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8
Cost per patient outlier+6
High fills per patient+3

Score components are additive. Read full methodology

Peer Comparison vs. 10,307 Psychiatry & Neurology providers

+423%

Cost per patient vs peers

$6,916 vs $1,323 avg

+105%

Brand preference vs peers

10.4% vs 5.0% 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.

Brand vs Generic

90% generic

Brand: 1,238 claims · $2.2M

Generic: 10,695 claims · $436K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Paliperidone Palmitate186$644K
Deutetrabenazine57$421K
Paliperidone Palmitate31$309K
Aripiprazole76$219K
Cariprazine Hcl132$192K
Lurasidone Hcl56$88K
Vortioxetine Hydrobromide138$74K
Aripiprazole511$71K
Risperidone Microspheres59$71K
Aripiprazole Lauroxil18$50K
Brexpiprazole42$49K
Lurasidone Hcl112$47K
Paliperidone70$34K
Buprenorphine Hcl/Naloxone Hcl129$33K
Lisdexamfetamine Dimesylate66$27K

Prescribing Profile

75

Unique Drugs

31.0

Anomaly Score

Patient Profile

56

Avg Age

58%

Female

1.54

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