Medicare Fraud Risk in Rhode Island
14 of 5,750 Medicare Part D prescribers in Rhode Island (0.24%) were flagged as high-risk by our multi-factor scoring model.
Data: CMS Medicare Part D, 2023 (most current available) · Updated March 2026
14
High-Risk Providers
$10.0M
Flagged Provider Costs
0.24%
Of Providers Flagged
13.6%
State Avg Opioid Rate
Highest-Risk Prescribers in Rhode Island
Risk scores are statistical indicators, not allegations of wrongdoing. Learn about our methodology.
| Provider | Risk Score | Drug Cost |
|---|---|---|
| Shelby Defaria | 48/100 | $223K |
| Miriam Cardenas | 48/100 | $59K |
| Suleiman Halaibeh | 46/100 | $124K |
| Lauren Jones | 45/100 | $301K |
| Michael Cobb | 41/100 | $131K |
| Ellery Murray | 39/100 | $27K |
| Michelle Fox | 36/100 | $50K |
| Edward Reardon | 35/100 | $2.0M |
| Jason Ferreira | 33/100 | $1.2M |
| Syed Rizvi | 33/100 | $2.0M |
| Jane Mcphillips | 32/100 | $4,226 |
| Michael Klufas | 31/100 | $3.8M |
| Ruth Mcnally | 31/100 | $43K |
| Laura Denoncour | 31/100 | $52K |
By Specialty
Nurse Practitioner8
General Practice1
Physician Assistant1
Rheumatology1
Gastroenterology1
Psychiatry1
Internal Medicine1
By City
Warwick6
Providence4
East Greenwich1
Westerly1
Cumberland1
Lincoln1
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Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are computed using our 10-component statistical model analyzing prescribing patterns relative to specialty peers. High risk scores indicate unusual patterns that may warrant review — they are not accusations of fraud. Dispute this data