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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 →

Crescenzo PisanoM.D.

Internal Medicine · San Pedro, CA 90732

NPI: 1144336769

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24

🟡 Moderate

ML Fraud Detection Score: 96%

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

11,242

Total Claims

$976K

Drug Cost

497

Beneficiaries

$1,963

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

+179%

Opioid rate vs peers

6.2% vs 2.2% avg

+39%

Cost per patient vs peers

$1,963 vs $1,411 avg

-17%

Brand preference vs peers

8.9% 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

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Our machine learning model — trained on 281 confirmed fraud cases — gives this provider a "Very High" fraud-pattern score. All 20 decision trees in our ensemble model agree that this provider's prescribing patterns resemble those of confirmed fraud cases. This is a statistical finding, not an accusation.

⚠️

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

6.2%

Opioid Rate

702

Opioid Claims

$24K

Opioid Cost

10.4%

Long-Acting Rate

Brand vs Generic

91% generic

Brand: 989 claims · $629K

Generic: 10,181 claims · $344K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban91$60K
Buprenorphine Hcl/Naloxone Hcl220$56K
Rivaroxaban40$39K
Semaglutide20$37K
Dulaglutide24$37K
Budesonide/Formoterol Fumarate68$30K
Sitagliptin Phosphate23$27K
Empagliflozin33$27K
Ibuprofen/Famotidine11$25K
Buprenorphine Hcl/Naloxone Hcl24$24K
Linaclotide31$23K
Dapagliflozin Propanediol32$19K
Buprenorphine Hcl/Naloxone Hcl14$18K
Insulin Aspart16$15K
Atorvastatin Calcium560$11K

Prescribing Profile

164

Unique Drugs

$187K

IRA Negotiated Drugs

$73K

GLP-1 Drugs

24.0

Anomaly Score

Patient Profile

74

Avg Age

45%

Female

1.50

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