⚠️

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 →

Milton ShawM.D.

Geriatric Medicine · Boerne, TX 78006

NPI: 1346203007

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26

🟡 Moderate

ML Fraud Detection Score: 98%

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-prescriberExtreme fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

43,404

Total Claims

$3.3M

Drug Cost

925

Beneficiaries

$3,602

Cost/Patient

Risk Score Breakdown 26/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8
High fills per patient+5

Score components are additive. Read full methodology

Peer Comparison vs. 1,825 Geriatric Medicine providers

+16%

Opioid rate vs peers

3.0% vs 2.6% avg

+191%

Cost per patient vs peers

$3,602 vs $1,237 avg

+65%

Brand preference vs peers

15.1% vs 9.2% 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

3.0%

Opioid Rate

1,294

Opioid Claims

$33K

Opioid Cost

6.8%

Long-Acting Rate

Brand vs Generic

85% generic

Brand: 6,537 claims · $2.4M

Generic: 36,749 claims · $934K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Valbenazine Tosylate68$359K
Apixaban1,161$313K
Pimavanserin Tartrate113$259K
Mirabegron689$160K
Deutetrabenazine29$89K
Memantine Hcl1,071$58K
Rivaroxaban222$58K
Linagliptin219$57K
Divalproex Sodium1,254$53K
Dulaglutide55$48K
Apremilast22$46K
Empagliflozin140$42K
Paliperidone Palmitate12$42K
Memantine Hcl/Donepezil Hcl148$40K
Linaclotide90$39K

Prescribing Profile

286

Unique Drugs

$497K

IRA Negotiated Drugs

$67K

GLP-1 Drugs

26.0

Anomaly Score

Patient Profile

78

Avg Age

64%

Female

2.37

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