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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 →

Harold PeanMD

Internal Medicine · Mission, TX 78572

NPI: 1013950484

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28

🟡 Moderate

Risk Flags

Elevated cost per beneficiaryHigh antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberHigh fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

17,757

Total Claims

$4.4M

Drug Cost

641

Beneficiaries

$6,812

Cost/Patient

Risk Score Breakdown 28/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8
Cost per patient outlier+3
High fills per patient+3

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

+90%

Opioid rate vs peers

4.2% vs 2.2% avg

+383%

Cost per patient vs peers

$6,812 vs $1,411 avg

+100%

Brand preference vs peers

21.3% vs 10.6% 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

4.2%

Opioid Rate

754

Opioid Claims

$31K

Opioid Cost

Long-Acting Rate

Brand vs Generic

79% generic

Brand: 3,744 claims · $3.9M

Generic: 13,822 claims · $474K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Dapagliflozin Propanediol314$391K
Semaglutide277$357K
Empagliflozin172$247K
Tirzepatide171$226K
Apixaban185$162K
Mirabegron163$156K
Rivaroxaban151$149K
Semaglutide86$142K
Denosumab80$135K
Rifaximin45$135K
Insulin Degludec92$127K
Fluticasone/Umeclidin/Vilanter171$115K
Sitagliptin Phosphate66$111K
Sacubitril/Valsartan87$90K
Linaclotide114$88K

Prescribing Profile

197

Unique Drugs

$1.2M

IRA Negotiated Drugs

$787K

GLP-1 Drugs

28.0

Anomaly Score

Patient Profile

73

Avg Age

58%

Female

2.15

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