⚠️

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 →

Jaroslaw SiwikMD

Internal Medicine · Portage, MI 49024

NPI: 1043280522

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15

🟡 Moderate

ML Fraud Detection Score: 89%

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

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Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

8,875

Total Claims

$908K

Drug Cost

627

Beneficiaries

$1,448

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

+131%

Opioid rate vs peers

5.2% vs 2.2% avg

+3%

Cost per patient vs peers

$1,448 vs $1,411 avg

+16%

Brand preference vs peers

12.3% 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

🤖

ML fraud detection score of 89% indicates prescribing patterns with significant similarity to confirmed fraud cases. 18 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

5.2%

Opioid Rate

459

Opioid Claims

$14K

Opioid Cost

10.2%

Long-Acting Rate

Brand vs Generic

88% generic

Brand: 1,088 claims · $701K

Generic: 7,747 claims · $206K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Dulaglutide107$138K
Apixaban111$129K
Semaglutide50$78K
Empagliflozin43$53K
Lipase/Protease/Amylase19$49K
Semaglutide21$34K
Insulin Glargine,hum.Rec.Anlog34$25K
Budesonide/Formoterol Fumarate30$22K
Mirabegron32$21K
Rivaroxaban25$20K
Tirzepatide14$16K
Atorvastatin Calcium637$14K
Canagliflozin15$14K
Rosuvastatin Calcium249$11K
Levothyroxine Sodium356$7,466

Prescribing Profile

127

Unique Drugs

$202K

IRA Negotiated Drugs

$267K

GLP-1 Drugs

15.0

Anomaly Score

Patient Profile

74

Avg Age

44%

Female

1.05

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