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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 →

Vadim BaramMD

Psychiatry · Saint Louis, MO 63141

NPI: 1124007380

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28

🟡 Moderate

🤖 ML Fraud Detection Score: Very High

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-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

22,648

Total Claims

$9.3M

Drug Cost

1,252

Beneficiaries

$7,417

Cost/Patient

Risk Score Breakdown 28/100

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

Score components are additive. Read full methodology

Peer Comparison vs. 21,141 Psychiatry providers

+337%

Cost per patient vs peers

$7,417 vs $1,696 avg

+183%

Brand preference vs peers

14.0% 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.

🔎 Data Overview

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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.

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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.

Brand vs Generic

86% generic

Brand: 3,176 claims · $8.6M

Generic: 19,472 claims · $705K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Valbenazine Tosylate439$3.5M
Aripiprazole Lauroxil474$1.5M
Deutetrabenazine147$898K
Olanzapine/Samidorphan Malate376$584K
Paliperidone Palmitate98$297K
Lurasidone Hcl201$259K
Dextromethorphan Hbr/Quinidine149$211K
Pimavanserin Tartrate55$210K
Iloperidone88$157K
Lumateperone Tosylate96$151K
Vortioxetine Hydrobromide259$120K
Bupropion Hbr19$88K
Lurasidone Hcl243$83K
Aripiprazole28$80K
Asenapine45$65K

Prescribing Profile

135

Unique Drugs

$15K

IRA Negotiated Drugs

$12K

GLP-1 Drugs

28.0

Anomaly Score

Patient Profile

62

Avg Age

56%

Female

1.93

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