⚠️

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 →

Mel MagbooM.D.

Internal Medicine · Reno, NV 89502

NPI: 1114937158

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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

Elevated long-acting opioid rateHigh antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberExtreme fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

20,347

Total Claims

$1.1M

Drug Cost

557

Beneficiaries

$1,974

Cost/Patient

Risk Score Breakdown 31/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8
High fills per patient+5
Long-acting opioid rate+4

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

+44%

Opioid rate vs peers

3.2% vs 2.2% avg

+40%

Cost per patient vs peers

$1,974 vs $1,411 avg

+40%

Brand preference vs peers

14.8% 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.

⚠️

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

3.2%

Opioid Rate

658

Opioid Claims

$13K

Opioid Cost

15.0%

Long-Acting Rate

Brand vs Generic

85% generic

Brand: 3,016 claims · $735K

Generic: 17,299 claims · $363K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban684$218K
Rivaroxaban316$110K
Rifaximin24$40K
Fluticasone/Vilanterol65$26K
Insulin Glargine,hum.Rec.Anlog111$24K
Divalproex Sodium510$21K
Atorvastatin Calcium1,243$19K
Tiotropium Bromide35$18K
Dapagliflozin Propanediol51$17K
Dulaglutide32$16K
Budesonide/Formoterol Fumarate37$15K
Sitagliptin Phosphate45$14K
Empagliflozin19$13K
Tiotropium Bromide20$11K
Quetiapine Fumarate465$10K

Prescribing Profile

176

Unique Drugs

$397K

IRA Negotiated Drugs

$16K

GLP-1 Drugs

31.0

Anomaly Score

Patient Profile

78

Avg Age

60%

Female

2.26

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