⚠️

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 →

Gregg FulmerMD

Hospitalist · Bellefontaine, OH 43311

NPI: 1396781944

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26

🟡 Moderate

Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

18,461

Total Claims

$1.1M

Drug Cost

541

Beneficiaries

$2,084

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. 16,767 Hospitalist providers

-27%

Opioid rate vs peers

2.2% vs 3.0% avg

+388%

Cost per patient vs peers

$2,084 vs $427 avg

+200%

Brand preference vs peers

15.7% vs 5.2% 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

⚠️

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

2.2%

Opioid Rate

402

Opioid Claims

$4,431

Opioid Cost

Long-Acting Rate

Brand vs Generic

84% generic

Brand: 2,894 claims · $737K

Generic: 15,495 claims · $384K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban670$214K
Sitagliptin Phosphate122$47K
Rivaroxaban161$44K
Mirabegron126$35K
Empagliflozin77$23K
Insulin Glargine,hum.Rec.Anlog138$20K
Ipratropium/Albuterol Sulfate34$17K
Budesonide/Formoterol Fumarate41$17K
Fluticasone/Umeclidin/Vilanter28$15K
Rotigotine30$13K
Memantine Hcl207$13K
Fluticasone Propion/Salmeterol30$13K
Insulin Glargine,hum.Rec.Anlog38$12K
Potassium Chloride534$12K
Gabapentin457$11K

Prescribing Profile

187

Unique Drugs

$346K

IRA Negotiated Drugs

26.0

Anomaly Score

Patient Profile

78

Avg Age

60%

Female

1.91

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