⚠️

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 →

Alison MathewM.D.

Internal Medicine · Ligonier, IN 46767

NPI: 1083687388

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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

8,643

Total Claims

$476K

Drug Cost

793

Beneficiaries

$601

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

+161%

Opioid rate vs peers

5.8% vs 2.2% avg

-57%

Cost per patient vs peers

$601 vs $1,411 avg

-21%

Brand preference vs peers

8.4% 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

5.8%

Opioid Rate

505

Opioid Claims

$8,977

Opioid Cost

13.5%

Long-Acting Rate

Brand vs Generic

92% generic

Brand: 716 claims · $323K

Generic: 7,820 claims · $151K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Empagliflozin70$47K
Linaclotide17$31K
Apixaban18$29K
Dabigatran Etexilate Mesylate100$28K
Semaglutide30$22K
Rivaroxaban18$20K
Insulin Nph Human Isophane35$12K
Liraglutide12$11K
Tiotropium Bromide26$11K
Atorvastatin Calcium781$11K
Levothyroxine Sodium450$10K
Insulin Nph Human Isophane45$10K
Fluticasone Propion/Salmeterol29$8,150
Losartan Potassium513$7,291
Hydrocodone/Acetaminophen307$6,173

Prescribing Profile

118

Unique Drugs

$96K

IRA Negotiated Drugs

$34K

GLP-1 Drugs

15.0

Anomaly Score

Patient Profile

74

Avg Age

69%

Female

1.16

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