⚠️

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 →

Luther St. JamesM.D.

Family Practice · Daytona Beach, FL 32117

NPI: 1013105477

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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

14,746

Total Claims

$2.7M

Drug Cost

786

Beneficiaries

$3,423

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. 106,889 Family Practice providers

-73%

Opioid rate vs peers

0.7% vs 2.6% avg

+221%

Cost per patient vs peers

$3,423 vs $1,068 avg

+117%

Brand preference vs peers

19.5% 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

0.7%

Opioid Rate

104

Opioid Claims

$5,662

Opioid Cost

Long-Acting Rate

Brand vs Generic

81% generic

Brand: 2,861 claims · $2.3M

Generic: 11,791 claims · $341K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Semaglutide223$279K
Tirzepatide187$238K
Dapagliflozin Propanediol222$194K
Apixaban136$140K
Empagliflozin117$113K
Rivaroxaban94$105K
Dulaglutide62$86K
Sitagliptin Phosphate79$81K
Tofacitinib Citrate13$77K
Fluticasone/Umeclidin/Vilanter69$68K
Linaclotide91$59K
Linagliptin86$58K
Lipase/Protease/Amylase13$55K
Insulin Degludec21$39K
Mirabegron41$38K

Prescribing Profile

203

Unique Drugs

$671K

IRA Negotiated Drugs

$670K

GLP-1 Drugs

21.0

Anomaly Score

Patient Profile

73

Avg Age

39%

Female

1.54

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