⚠️

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 →

William ShayMD

Internal Medicine · Provincetown, MA 2657

NPI: 1033198627

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29

🟡 Moderate

Risk Flags

Elevated cost per beneficiaryElevated long-acting opioid rateHigh antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

10,703

Total Claims

$4.1M

Drug Cost

699

Beneficiaries

$5,831

Cost/Patient

Risk Score Breakdown 29/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8
Long-acting opioid rate+4
Cost per patient outlier+3

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

+32%

Opioid rate vs peers

3.0% vs 2.2% avg

+313%

Cost per patient vs peers

$5,831 vs $1,411 avg

+85%

Brand preference vs peers

19.7% 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

3.0%

Opioid Rate

316

Opioid Claims

$7,922

Opioid Cost

19.6%

Long-Acting Rate

Brand vs Generic

80% generic

Brand: 2,095 claims · $3.7M

Generic: 8,557 claims · $398K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Bictegrav/Emtricit/Tenofov Ala387$1.6M
Emtricitab/Rilpiviri/Tenof Ala108$435K
Emtricitabine/Tenofov Alafenam84$217K
Dolutegravir Sodium/Lamivudine42$130K
Semaglutide126$125K
Dolutegravir Sodium45$102K
Rivaroxaban40$60K
Dolutegravir/Rilpivirine13$52K
Apixaban46$51K
Elviteg/Cob/Emtri/Tenof Alafen12$50K
Empagliflozin28$50K
Semaglutide25$47K
Raltegravir Potassium23$46K
Doravirine24$43K
Dapagliflozin Propanediol24$35K

Prescribing Profile

159

Unique Drugs

$196K

IRA Negotiated Drugs

$213K

GLP-1 Drugs

29.0

Anomaly Score

Patient Profile

72

Avg Age

36%

Female

1.00

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