⚠️

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 →

Martin GessnerM.D.

Internal Medicine · Morganton, NC 28655

NPI: 1093746661

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18

🟡 Moderate

ML Fraud Detection Score: 86%

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-prescriberHigh fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

12,931

Total Claims

$961K

Drug Cost

664

Beneficiaries

$1,447

Cost/Patient

Risk Score Breakdown 18/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid + benzodiazepine combo+8
Elderly antipsychotic prescribing+5
High fills per patient+3

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

+53%

Opioid rate vs peers

3.4% vs 2.2% avg

+3%

Cost per patient vs peers

$1,447 vs $1,411 avg

+1%

Brand preference vs peers

10.7% 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

🤖

ML fraud detection score of 86% indicates prescribing patterns with significant similarity to confirmed fraud cases. 17 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

3.4%

Opioid Rate

443

Opioid Claims

$8,759

Opioid Cost

3.2%

Long-Acting Rate

Brand vs Generic

89% generic

Brand: 1,371 claims · $797K

Generic: 11,456 claims · $159K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban154$118K
Empagliflozin99$90K
Semaglutide58$65K
Dulaglutide38$64K
Insulin Glargine,hum.Rec.Anlog77$57K
Liraglutide26$35K
Rivaroxaban26$30K
Insulin Aspart29$29K
Budesonide/Formoterol Fumarate46$28K
Insulin Lispro22$26K
Varicella-Zoster Ge/As01b/Pf100$21K
Insulin Detemir11$19K
Fluticasone/Umeclidin/Vilanter28$18K
Insulin Glargine,hum.Rec.Anlog23$16K
Sitagliptin Phos/Metformin Hcl21$16K

Prescribing Profile

156

Unique Drugs

$279K

IRA Negotiated Drugs

$164K

GLP-1 Drugs

18.0

Anomaly Score

Patient Profile

76

Avg Age

51%

Female

1.18

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