⚠️

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 →

Ramon CheleuitteMD

Internal Medicine · Augusta, ME 4330

NPI: 1114059672

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20

🟡 Moderate

🤖 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 long-acting opioid rateElevated antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

11,328

Total Claims

$1.4M

Drug Cost

644

Beneficiaries

$2,216

Cost/Patient

Risk Score Breakdown 20/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid + benzodiazepine combo+8
Elderly antipsychotic prescribing+5
Long-acting opioid rate+4

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

+54%

Opioid rate vs peers

3.5% vs 2.2% avg

+57%

Cost per patient vs peers

$2,216 vs $1,411 avg

+32%

Brand preference vs peers

14.0% 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 88% indicates prescribing patterns with significant similarity to confirmed fraud cases. 18 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

3.5%

Opioid Rate

391

Opioid Claims

$22K

Opioid Cost

17.9%

Long-Acting Rate

Brand vs Generic

86% generic

Brand: 1,566 claims · $1.1M

Generic: 9,636 claims · $300K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban163$202K
Semaglutide149$179K
Empagliflozin64$84K
Fluticasone/Umeclidin/Vilanter55$79K
Sitagliptin Phosphate58$75K
Fluticasone/Vilanterol73$48K
Dulaglutide36$39K
Insulin Aspart33$38K
Insulin Detemir66$37K
Linaclotide45$35K
Insulin Glargine,hum.Rec.Anlog23$23K
Rivaroxaban12$22K
Mirabegron19$21K
Budesonide/Formoterol Fumarate18$19K
Insulin Glargine,hum.Rec.Anlog27$15K

Prescribing Profile

155

Unique Drugs

$420K

IRA Negotiated Drugs

$218K

GLP-1 Drugs

20.0

Anomaly Score

Patient Profile

72

Avg Age

53%

Female

1.00

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