⚠️

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 →

Marjorie AffelMD

Family Practice · Kingston, NY 12401

NPI: 1003043209

Share:

17

🟡 Moderate

ML Fraud Detection Score: 94%

Machine learning model identifies prescribing patterns consistent with confirmed fraud cases. This is a statistical indicator, not an accusation.

Learn more →

Risk Flags

High long-acting opioid rate vs peersOpioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

2,251

Total Claims

$313K

Drug Cost

330

Beneficiaries

$950

Cost/Patient

Risk Score Breakdown 17/100

Low (0)Moderate (15)Elevated (30)High (50+)
Long-acting opioid rate+8
Opioid + benzodiazepine combo+8

Score components are additive. Read full methodology

Peer Comparison vs. 106,889 Family Practice providers

-5%

Opioid rate vs peers

2.4% vs 2.6% avg

-11%

Cost per patient vs peers

$950 vs $1,068 avg

+102%

Brand preference vs peers

18.1% vs 9.0% 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 94% 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

2.4%

Opioid Rate

55

Opioid Claims

$3,019

Opioid Cost

25.5%

Long-Acting Rate

Brand vs Generic

82% generic

Brand: 401 claims · $257K

Generic: 1,810 claims · $55K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Empagliflozin47$35K
Semaglutide20$28K
Apixaban34$26K
Dulaglutide25$24K
Semaglutide22$23K
Dapagliflozin Propanediol16$13K
Budesonide/Formoterol Fumarate29$12K
Buprenorphine Hcl/Naloxone Hcl21$8,070
Umeclidinium Bromide15$5,809
Atorvastatin Calcium174$3,059
Duloxetine Hcl29$2,355
Albuterol Sulfate59$1,807
Gabapentin86$1,450
Spironolactone32$1,177
Metformin Hcl129$1,173

Prescribing Profile

52

Unique Drugs

$73K

IRA Negotiated Drugs

$76K

GLP-1 Drugs

17.0

Anomaly Score

Patient Profile

64

Avg Age

49%

Female

1.77

Avg Risk Score

Explore More

Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations of wrongdoing.Methodology · About · Dispute this data