⚠️

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 →

Michael NabolotnyMD

Internal Medicine · Chicago, IL 60631

NPI: 1225021470

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31

🟠 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.

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

30,947

Total Claims

$2.3M

Drug Cost

650

Beneficiaries

$3,553

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

-70%

Opioid rate vs peers

0.7% vs 2.2% avg

+152%

Cost per patient vs peers

$3,553 vs $1,411 avg

+19%

Brand preference vs peers

12.6% 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 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

210

Opioid Claims

$3,652

Opioid Cost

21.0%

Long-Acting Rate

Brand vs Generic

87% generic

Brand: 3,879 claims · $1.7M

Generic: 26,899 claims · $638K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban906$333K
Rivaroxaban367$123K
Sitagliptin Phosphate231$81K
Paliperidone Palmitate25$74K
Rifaximin34$62K
Dulaglutide57$54K
Dolutegravir Sodium21$47K
Semaglutide42$42K
Insulin Glargine,hum.Rec.Anlog183$35K
Divalproex Sodium702$27K
Aripiprazole12$27K
Collagenase Clostridium Hist.83$26K
Emtricitabine/Tenofov Alafenam11$25K
Semaglutide25$24K
Potassium Chloride757$22K

Prescribing Profile

256

Unique Drugs

$582K

IRA Negotiated Drugs

$120K

GLP-1 Drugs

31.0

Anomaly Score

Patient Profile

78

Avg Age

62%

Female

2.50

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