⚠️

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 →

Israel MachinM.D.

Family Practice · Lake Clarke Shores, FL 33406

NPI: 1295711349

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24

🟡 Moderate

Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

39,635

Total Claims

$2.6M

Drug Cost

1,595

Beneficiaries

$1,642

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. 106,889 Family Practice providers

-87%

Opioid rate vs peers

0.3% vs 2.6% avg

+54%

Cost per patient vs peers

$1,642 vs $1,068 avg

+11%

Brand preference vs peers

10.0% vs 9.0% 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

0.3%

Opioid Rate

129

Opioid Claims

$1,212

Opioid Cost

Long-Acting Rate

Brand vs Generic

90% generic

Brand: 3,949 claims · $2.0M

Generic: 35,449 claims · $641K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban398$300K
Empagliflozin246$226K
Rivaroxaban114$121K
Semaglutide81$111K
Semaglutide79$99K
Linagliptin101$93K
Budesonide/Formoterol Fumarate182$91K
Linaclotide131$88K
Sitagliptin Phosphate74$57K
Dapagliflozin Propanediol53$45K
Mirabegron73$35K
Insulin Degludec44$32K
Insulin Glargine,hum.Rec.Anlog61$31K
Dulaglutide25$29K
Icosapent Ethyl44$28K

Prescribing Profile

228

Unique Drugs

$796K

IRA Negotiated Drugs

$239K

GLP-1 Drugs

24.0

Anomaly Score

Patient Profile

74

Avg Age

57%

Female

1.88

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