⚠️

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 →

Matthew GradeM.D.

Family Practice · Sauk City, WI 53583

NPI: 1093813750

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36

🟠 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 long-acting opioid rate vs peersHigh antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberExtreme fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

8,834

Total Claims

$484K

Drug Cost

231

Beneficiaries

$2,096

Cost/Patient

Risk Score Breakdown 36/100

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

Score components are additive. Read full methodology

Peer Comparison vs. 106,889 Family Practice providers

+135%

Opioid rate vs peers

6.1% vs 2.6% avg

+96%

Cost per patient vs peers

$2,096 vs $1,068 avg

+48%

Brand preference vs peers

13.3% 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.

🔎 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.

⚠️

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

6.1%

Opioid Rate

536

Opioid Claims

$18K

Opioid Cost

56.3%

Long-Acting Rate

Brand vs Generic

87% generic

Brand: 1,177 claims · $354K

Generic: 7,643 claims · $130K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban240$96K
Dulaglutide31$30K
Tiotropium Bromide29$16K
Fentanyl301$16K
Umeclidinium Brm/Vilanterol Tr26$13K
Insulin Aspart33$12K
Potassium Chloride289$9,511
Insulin Detemir18$8,580
Budesonide/Formoterol Fumarate20$8,162
Empagliflozin25$7,520
Ipratropium/Albuterol Sulfate14$7,003
Fluticasone Propion/Salmeterol17$6,968
Insulin Glargine,hum.Rec.Anlog35$6,774
Canagliflozin11$6,723
Rivaroxaban17$6,283

Prescribing Profile

115

Unique Drugs

$131K

IRA Negotiated Drugs

$30K

GLP-1 Drugs

36.0

Anomaly Score

Patient Profile

78

Avg Age

59%

Female

1.96

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