⚠️

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 →

Lisa SandersMD

Internal Medicine · Portland, OR 97230

NPI: 1093128571

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30

🟠 Elevated

🤖 ML Fraud Detection Score: 93%

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

12,468

Total Claims

$1.2M

Drug Cost

247

Beneficiaries

$4,861

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

+107%

Opioid rate vs peers

4.6% vs 2.2% avg

+244%

Cost per patient vs peers

$4,861 vs $1,411 avg

+15%

Brand preference vs peers

12.2% 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

🤖

ML fraud detection score of 93% indicates prescribing patterns with significant similarity to confirmed fraud cases. 19 out of 20 decision trees flagged this provider.

⚠️

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

4.6%

Opioid Rate

578

Opioid Claims

$29K

Opioid Cost

6.7%

Long-Acting Rate

Brand vs Generic

88% generic

Brand: 1,510 claims · $701K

Generic: 10,867 claims · $495K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Interferon Beta-1a23$148K
Apixaban263$116K
Darbepoetin Alfa In Polysorbat15$47K
Apremilast11$41K
Memantine Hcl512$37K
Atorvastatin Calcium682$30K
Empagliflozin52$26K
Insulin Glargine,hum.Rec.Anlog73$25K
Insulin Glargine,hum.Rec.Anlog64$24K
Omeprazole476$23K
Donepezil Hcl338$20K
Tiotropium Bromide45$20K
Tiotropium Bromide44$19K
Olanzapine170$19K
Lidocaine228$17K

Prescribing Profile

174

Unique Drugs

$175K

IRA Negotiated Drugs

$27K

GLP-1 Drugs

30.0

Anomaly Score

Patient Profile

76

Avg Age

69%

Female

3.03

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