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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 →

Michael KuekerMD

Family Practice · Buffalo, NY 14202

NPI: 1013414986

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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

19,503

Total Claims

$1.1M

Drug Cost

867

Beneficiaries

$1,323

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

-48%

Opioid rate vs peers

1.3% vs 2.6% avg

+24%

Cost per patient vs peers

$1,323 vs $1,068 avg

+74%

Brand preference vs peers

15.6% 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

1.3%

Opioid Rate

261

Opioid Claims

$3,858

Opioid Cost

11.9%

Long-Acting Rate

Brand vs Generic

84% generic

Brand: 3,023 claims · $857K

Generic: 16,328 claims · $278K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban710$174K
Dulaglutide135$117K
Rivaroxaban189$49K
Mirabegron151$32K
Semaglutide27$26K
Empagliflozin77$23K
Emtricitab/Rilpiviri/Tenof Ala25$22K
Insulin Glargine,hum.Rec.Anlog57$20K
Sitagliptin Phosphate65$17K
Insulin Glargine,hum.Rec.Anlog56$16K
Dapagliflozin Propanediol58$15K
Fluticasone/Umeclidin/Vilanter21$14K
Sacubitril/Valsartan48$13K
Cariprazine Hcl18$12K
Tiotropium Bromide22$12K

Prescribing Profile

203

Unique Drugs

$306K

IRA Negotiated Drugs

$143K

GLP-1 Drugs

24.0

Anomaly Score

Patient Profile

81

Avg Age

69%

Female

2.51

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