⚠️

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 →

James PalenM.D.

Family Practice · Cape Girardeau, MO 63703

NPI: 1114973161

Share:

24

🟡 Moderate

ML Fraud Detection Score: 88%

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

Learn more →

Risk Flags

High antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberHigh fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

8,933

Total Claims

$751K

Drug Cost

374

Beneficiaries

$2,007

Cost/Patient

Risk Score Breakdown 24/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8
High fills per patient+3

Score components are additive. Read full methodology

Peer Comparison vs. 106,889 Family Practice providers

+26%

Opioid rate vs peers

3.3% vs 2.6% avg

+88%

Cost per patient vs peers

$2,007 vs $1,068 avg

+120%

Brand preference vs peers

19.8% vs 9.0% 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 88% 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

3.3%

Opioid Rate

291

Opioid Claims

$5,300

Opioid Cost

4.5%

Long-Acting Rate

Brand vs Generic

80% generic

Brand: 1,765 claims · $568K

Generic: 7,133 claims · $182K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban200$67K
Empagliflozin117$40K
Rifaximin20$31K
Tirzepatide28$31K
Linagliptin89$30K
Rivaroxaban86$28K
Mirabegron93$26K
Semaglutide23$23K
Linaclotide42$23K
Semaglutide22$22K
Paliperidone17$15K
Sitagliptin Phosphate33$14K
Rimegepant Sulfate12$12K
Varicella-Zoster Ge/As01b/Pf58$12K
Rsvpref3 Antigen/As01e/Pf34$10K

Prescribing Profile

156

Unique Drugs

$157K

IRA Negotiated Drugs

$76K

GLP-1 Drugs

24.0

Anomaly Score

Patient Profile

74

Avg Age

62%

Female

1.84

Avg Risk Score

Explore More

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