⚠️

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 →

David ChiangM.D

Internal Medicine · Norwell, MA 2061

NPI: 1124219506

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41

🟠 Elevated

🤖 ML Fraud Detection Score: 85%

Machine learning model identifies prescribing patterns consistent with confirmed fraud cases. This is a statistical indicator, not an accusation.

Learn more →

Risk Flags

High opioid rate vs specialty peersHigh long-acting opioid rate vs peersHigh antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

14,564

Total Claims

$1.1M

Drug Cost

940

Beneficiaries

$1,192

Cost/Patient

Risk Score Breakdown 41/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate vs specialty peers+10
Elderly antipsychotic prescribing+10
Long-acting opioid rate+8
Opioid + benzodiazepine combo+8

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

+452%

Opioid rate vs peers

12.3% vs 2.2% avg

-15%

Cost per patient vs peers

$1,192 vs $1,411 avg

-13%

Brand preference vs peers

9.3% 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 85% indicates prescribing patterns with significant similarity to confirmed fraud cases. 17 out of 20 decision trees flagged this provider.

💊

Opioid rate is 452% above Internal Medicine peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.

⚠️

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

12.3%

Opioid Rate

1,798

Opioid Claims

$175K

Opioid Cost

29.4%

Long-Acting Rate

Brand vs Generic

91% generic

Brand: 1,344 claims · $746K

Generic: 13,154 claims · $370K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban102$129K
Dulaglutide61$89K
Oxycodone Hcl103$71K
Semaglutide47$51K
Oxycodone Hcl/Acetaminophen11$46K
Rivaroxaban29$29K
Insulin Glargine,hum.Rec.Anlog56$27K
Linaclotide35$26K
Insulin Aspart15$24K
Empagliflozin28$22K
Sitagliptin Phosphate21$21K
Oxycodone Hcl557$17K
Insulin Lispro22$17K
Atorvastatin Calcium597$14K
Fluticasone Propion/Salmeterol16$13K

Prescribing Profile

164

Unique Drugs

$225K

IRA Negotiated Drugs

$140K

GLP-1 Drugs

41.0

Anomaly Score

Patient Profile

74

Avg Age

44%

Female

1.32

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