⚠️

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 →

Michele FleakM.D.,

Internal Medicine · Dover, OH 44622

NPI: 1033193347

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15

🟡 Moderate

Risk Flags

Elevated antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

20,905

Total Claims

$1.1M

Drug Cost

1,205

Beneficiaries

$916

Cost/Patient

Risk Score Breakdown 15/100

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

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-51%

Opioid rate vs peers

1.1% vs 2.2% avg

-35%

Cost per patient vs peers

$916 vs $1,411 avg

-19%

Brand preference vs peers

8.6% 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

1.1%

Opioid Rate

229

Opioid Claims

$1,927

Opioid Cost

Long-Acting Rate

Brand vs Generic

91% generic

Brand: 1,795 claims · $775K

Generic: 18,973 claims · $324K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban234$202K
Insulin Glargine,hum.Rec.Anlog144$90K
Rivaroxaban95$86K
Sitagliptin Phosphate73$66K
Dulaglutide52$57K
Empagliflozin31$33K
Budesonide/Formoterol Fumarate53$24K
Fluticasone/Vilanterol32$22K
Atorvastatin Calcium1,442$17K
Insulin Lispro21$16K
Semaglutide15$14K
Levothyroxine Sodium1,071$14K
Rosuvastatin Calcium630$13K
Metoprolol Succinate491$11K
Fluticasone Furoate39$11K

Prescribing Profile

150

Unique Drugs

$388K

IRA Negotiated Drugs

$71K

GLP-1 Drugs

15.0

Anomaly Score

Patient Profile

76

Avg Age

71%

Female

1.10

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 of wrongdoing.Methodology · About · Dispute this data