⚠️

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 →

James ChudleighMD

Family Medicine · Luling, TX 78648

NPI: 1417963448

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26

🟡 Moderate

🤖 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 antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberExtreme fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

43,068

Total Claims

$3.0M

Drug Cost

1,081

Beneficiaries

$2,773

Cost/Patient

Risk Score Breakdown 26/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8
High fills per patient+5

Score components are additive. Read full methodology

Peer Comparison vs. 712 Family Medicine providers

+18%

Opioid rate vs peers

4.2% vs 3.5% avg

+240%

Cost per patient vs peers

$2,773 vs $816 avg

+112%

Brand preference vs peers

13.2% vs 6.2% 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

🤖

Our machine learning model — trained on 281 confirmed fraud cases — gives this provider a "Very High" fraud-pattern score. All 20 decision trees in our ensemble model agree that this provider's prescribing patterns resemble those of confirmed fraud cases. This is a statistical finding, not an accusation.

⚠️

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

4.2%

Opioid Rate

1,798

Opioid Claims

$43K

Opioid Cost

5.8%

Long-Acting Rate

Brand vs Generic

87% generic

Brand: 5,680 claims · $2.0M

Generic: 37,324 claims · $1.0M

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Paliperidone Palmitate88$267K
Apixaban842$228K
Dulaglutide189$157K
Deutetrabenazine33$143K
Rivaroxaban356$97K
Pimavanserin Tartrate16$68K
Mirabegron248$60K
Fluticasone/Umeclidin/Vilanter103$58K
Risperidone Microspheres24$48K
Divalproex Sodium849$48K
Bictegrav/Emtricit/Tenofov Ala11$42K
Memantine Hcl720$41K
Insulin Glargine,hum.Rec.Anlog163$41K
Insulin Detemir94$37K
Potassium Chloride994$35K

Prescribing Profile

281

Unique Drugs

$431K

IRA Negotiated Drugs

$169K

GLP-1 Drugs

26.0

Anomaly Score

Patient Profile

76

Avg Age

57%

Female

2.30

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