⚠️

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 →

Pamela ShoreMD

Internal Medicine · Ann Arbor, MI 48105

NPI: 1144283243

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21

🟡 Moderate

Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

10,388

Total Claims

$1.1M

Drug Cost

709

Beneficiaries

$1,482

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

-42%

Opioid rate vs peers

1.3% vs 2.2% avg

+5%

Cost per patient vs peers

$1,482 vs $1,411 avg

+24%

Brand preference vs peers

13.1% 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

⚠️

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

1.3%

Opioid Rate

134

Opioid Claims

$673

Opioid Cost

Long-Acting Rate

Brand vs Generic

87% generic

Brand: 1,350 claims · $823K

Generic: 8,919 claims · $222K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Dulaglutide84$137K
Apixaban102$124K
Insulin Glargine,hum.Rec.Anlog70$73K
Sitagliptin Phosphate59$72K
Semaglutide45$61K
Dapagliflozin Propanediol56$56K
Rivaroxaban33$46K
Empagliflozin24$36K
Tiotropium Bromide19$19K
Fluticasone Propionate41$16K
Atorvastatin Calcium792$14K
Fluticasone/Umeclidin/Vilanter12$13K
Levothyroxine Sodium697$12K
Budesonide/Formoterol Fumarate11$11K
Fluticasone Propion/Salmeterol24$9,154

Prescribing Profile

127

Unique Drugs

$334K

IRA Negotiated Drugs

$198K

GLP-1 Drugs

21.0

Anomaly Score

Patient Profile

75

Avg Age

80%

Female

1.01

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