⚠️

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 →

Robert BiermanM.D.

Internal Medicine · Scottsdale, AZ 85254

NPI: 1124023205

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15

🟡 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.

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Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

14,436

Total Claims

$1.6M

Drug Cost

1,148

Beneficiaries

$1,398

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

-54%

Opioid rate vs peers

1.0% vs 2.2% avg

-1%

Cost per patient vs peers

$1,398 vs $1,411 avg

+40%

Brand preference vs peers

14.9% 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

1.0%

Opioid Rate

148

Opioid Claims

$1,568

Opioid Cost

Long-Acting Rate

Brand vs Generic

85% generic

Brand: 2,129 claims · $1.3M

Generic: 12,134 claims · $263K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban132$163K
Semaglutide70$94K
Empagliflozin103$92K
Rivaroxaban76$72K
Denosumab35$59K
Dulaglutide41$51K
Insulin Glargine,hum.Rec.Anlog68$45K
Liraglutide16$39K
Insulin Lispro51$35K
Exenatide Microspheres39$33K
Sitagliptin Phosphate28$32K
Linaclotide32$30K
Dapagliflozin Propanediol39$27K
Tirzepatide20$26K
Fluticasone/Umeclidin/Vilanter19$25K

Prescribing Profile

178

Unique Drugs

$404K

IRA Negotiated Drugs

$253K

GLP-1 Drugs

15.0

Anomaly Score

Patient Profile

75

Avg Age

41%

Female

1.14

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