⚠️

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 →

Todd FulcherMD

Family Practice · Jackson, MS 39206

NPI: 1124097191

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38

🟠 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.

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Risk Flags

High cost outlier (population + peer)Elevated long-acting opioid rateHigh antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberExtreme fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

131,262

Total Claims

$6.4M

Drug Cost

1,277

Beneficiaries

$5,006

Cost/Patient

Risk Score Breakdown 38/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8
Cost per patient outlier+6
High fills per patient+5
Long-acting opioid rate+4

Score components are additive. Read full methodology

Peer Comparison vs. 106,889 Family Practice providers

-71%

Opioid rate vs peers

0.7% vs 2.6% avg

+369%

Cost per patient vs peers

$5,006 vs $1,068 avg

+42%

Brand preference vs peers

12.8% 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

🤖

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

0.7%

Opioid Rate

980

Opioid Claims

$41K

Opioid Cost

21.7%

Long-Acting Rate

Brand vs Generic

87% generic

Brand: 16,786 claims · $4.4M

Generic: 114,433 claims · $2.0M

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban3,570$854K
Insulin Detemir652$264K
Insulin Aspart618$191K
Sitagliptin Phosphate861$178K
Empagliflozin637$167K
Rivaroxaban728$149K
Sacubitril/Valsartan464$119K
Dulaglutide165$118K
Dextromethorphan Hbr/Quinidine159$110K
Mirabegron468$104K
Memantine Hcl2,710$103K
Collagenase Clostridium Hist.174$102K
Dapagliflozin Propanediol415$99K
Tetrabenazine24$98K
Pimavanserin Tartrate46$87K

Prescribing Profile

358

Unique Drugs

$1.9M

IRA Negotiated Drugs

$180K

GLP-1 Drugs

38.0

Anomaly Score

Patient Profile

78

Avg Age

65%

Female

2.43

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