⚠️

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 →

Latessa SpiersMD

Internal Medicine · Wilmington, NC 28401

NPI: 1013968650

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15

🟡 Moderate

Risk Flags

Elevated antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

10,025

Total Claims

$650K

Drug Cost

671

Beneficiaries

$969

Cost/Patient

Risk Score Breakdown 15/100

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

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-55%

Opioid rate vs peers

1.0% vs 2.2% avg

-31%

Cost per patient vs peers

$969 vs $1,411 avg

-10%

Brand preference vs peers

9.6% 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

1.0%

Opioid Rate

101

Opioid Claims

$13K

Opioid Cost

11.9%

Long-Acting Rate

Brand vs Generic

90% generic

Brand: 953 claims · $477K

Generic: 9,000 claims · $168K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Sitagliptin Phosphate40$55K
Apixaban37$48K
Dulaglutide35$47K
Fluticasone/Umeclidin/Vilanter34$38K
Fluticasone/Vilanterol51$33K
Semaglutide20$22K
Canagliflozin21$19K
Mirabegron11$16K
Rivaroxaban13$15K
Insulin Glargine,hum.Rec.Anlog16$14K
Oxycodone Hcl12$12K
Levothyroxine Sodium609$8,910
Atorvastatin Calcium577$7,313
Omeprazole400$6,915
Umeclidinium Brm/Vilanterol Tr15$6,709

Prescribing Profile

135

Unique Drugs

$117K

IRA Negotiated Drugs

$69K

GLP-1 Drugs

15.0

Anomaly Score

Patient Profile

75

Avg Age

81%

Female

0.98

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