⚠️

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 KoonceMD

Internal Medicine · Santa Barbara, CA 93105

NPI: 1124010095

Share:

21

🟡 Moderate

ML Fraud Detection Score: 83%

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-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

8,688

Total Claims

$957K

Drug Cost

478

Beneficiaries

$2,001

Cost/Patient

Risk Score Breakdown 21/100

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

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

+10%

Opioid rate vs peers

2.5% vs 2.2% avg

+42%

Cost per patient vs peers

$2,001 vs $1,411 avg

+46%

Brand preference vs peers

15.6% 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 83% 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

2.5%

Opioid Rate

213

Opioid Claims

$2,392

Opioid Cost

Long-Acting Rate

Brand vs Generic

84% generic

Brand: 1,337 claims · $785K

Generic: 7,260 claims · $170K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban234$156K
Bictegrav/Emtricit/Tenofov Ala24$94K
Rivaroxaban122$81K
Apremilast19$69K
Mirabegron95$40K
Icosapent Ethyl73$33K
Dapagliflozin Propanediol39$32K
Lipase/Protease/Amylase13$26K
Sitagliptin Phosphate37$24K
Memantine Hcl/Donepezil Hcl23$19K
Insulin Lispro16$19K
Insulin Glargine,hum.Rec.Anlog23$11K
Tiotropium Bromide15$10K
Budesonide/Formoterol Fumarate20$9,420
Icosapent Ethyl32$8,891

Prescribing Profile

146

Unique Drugs

$299K

IRA Negotiated Drugs

21.0

Anomaly Score

Patient Profile

81

Avg Age

58%

Female

1.24

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