⚠️

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 →

Susan PaulMD

Internal Medicine · Bridgton, ME 04009

NPI: 1316102478

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24

🟡 Moderate

Risk Flags

High antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberHigh fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

17,928

Total Claims

$1.5M

Drug Cost

855

Beneficiaries

$1,797

Cost/Patient

Risk Score Breakdown 24/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8
High fills per patient+3

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

+67%

Opioid rate vs peers

3.7% vs 2.2% avg

+27%

Cost per patient vs peers

$1,797 vs $1,411 avg

+48%

Brand preference vs peers

15.7% 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

⚠️

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

3.7%

Opioid Rate

672

Opioid Claims

$19K

Opioid Cost

8.2%

Long-Acting Rate

Brand vs Generic

84% generic

Brand: 2,789 claims · $1.1M

Generic: 14,991 claims · $442K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban294$113K
Paliperidone Palmitate34$98K
Mirabegron178$56K
Rivaroxaban149$55K
Insulin Glargine,hum.Rec.Anlog131$47K
Fluticasone Propion/Salmeterol109$38K
Insulin Glargine,hum.Rec.Anlog101$34K
Rifaximin14$33K
Pimavanserin Tartrate12$28K
Tiotropium Bromide47$26K
Insulin Aspart80$26K
Insulin Detemir63$25K
Potassium Chloride374$23K
Dulaglutide21$21K
Insulin Detemir52$19K

Prescribing Profile

191

Unique Drugs

$237K

IRA Negotiated Drugs

$21K

GLP-1 Drugs

24.0

Anomaly Score

Patient Profile

79

Avg Age

68%

Female

2.18

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