⚠️

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 →

Henry ShugartM.D.

Internal Medicine · Spartanburg, SC 29303

NPI: 1134195126

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24

🟡 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

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

Risk indicators are statistical patterns, not allegations. Learn more

12,933

Total Claims

$1.1M

Drug Cost

577

Beneficiaries

$1,842

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. 110,156 Internal Medicine providers

+240%

Opioid rate vs peers

7.6% vs 2.2% avg

+31%

Cost per patient vs peers

$1,842 vs $1,411 avg

-6%

Brand preference vs peers

10.0% 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.

💊

Opioid rate is 240% above Internal Medicine peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.

⚠️

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

7.6%

Opioid Rate

984

Opioid Claims

$49K

Opioid Cost

9.1%

Long-Acting Rate

Brand vs Generic

90% generic

Brand: 1,283 claims · $845K

Generic: 11,536 claims · $204K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban123$112K
Semaglutide41$48K
Dulaglutide40$40K
Insulin Aspart25$34K
Empagliflozin38$33K
Linaclotide34$26K
Rivaroxaban35$25K
Tirzepatide23$24K
Insulin Glargine/Lixisenatide18$23K
Insulin Detemir25$23K
Tapentadol Hcl12$21K
Insulin Glargine,hum.Rec.Anlog39$21K
Insulin Lispro21$21K
Insulin Degludec18$19K
Insulin Glargine,hum.Rec.Anlog32$15K

Prescribing Profile

162

Unique Drugs

$227K

IRA Negotiated Drugs

$112K

GLP-1 Drugs

24.0

Anomaly Score

Patient Profile

73

Avg Age

57%

Female

1.17

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