⚠️

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 →

Milla KarevMD

Geriatric Medicine · Cincinnati, OH 45219

NPI: 1285690743

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33

🟠 Elevated

🤖 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-prescriberextreme_fills_per_patient

Risk indicators are statistical patterns, not allegations. Learn more

49,134

Total Claims

$3.5M

Drug Cost

735

Beneficiaries

$4,753

Cost/Patient

Risk Score Breakdown 33/100

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

Score components are additive. Read full methodology

Peer Comparison vs. 1,825 Geriatric Medicine providers

-30%

Opioid rate vs peers

1.8% vs 2.6% avg

+284%

Cost per patient vs peers

$4,753 vs $1,237 avg

+41%

Brand preference vs peers

12.9% vs 9.2% avg

⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.

⚠️ 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.

Opioid Prescribing

1.8%

Opioid Rate

882

Opioid Claims

$15K

Opioid Cost

1.2%

Long-Acting Rate

Brand vs Generic

87% generic

Brand: 6,325 claims · $2.4M

Generic: 42,709 claims · $1.1M

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban1,378$374K
Deutetrabenazine98$221K
Valbenazine Tosylate63$199K
Paliperidone Palmitate57$185K
Pimavanserin Tartrate49$112K
Aripiprazole33$84K
Risperidone Microspheres81$79K
Bictegrav/Emtricit/Tenofov Ala19$76K
Rifaximin35$65K
Divalproex Sodium1,263$61K
Rivaroxaban184$55K
Dulaglutide78$52K
Dextromethorphan Hbr/Quinidine76$50K
Insulin Glargine,hum.Rec.Anlog186$46K
Atorvastatin Calcium3,297$44K

Prescribing Profile

280

Unique Drugs

$587K

IRA Negotiated Drugs

$69K

GLP-1 Drugs

33.0

Anomaly Score

Patient Profile

73

Avg Age

51%

Female

3.29

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