⚠️

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 →

Matthew GuestM.D

Family Practice · Escondido, CA 92025

NPI: 1023038601

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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

9,022

Total Claims

$472K

Drug Cost

969

Beneficiaries

$487

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. 106,889 Family Practice providers

+70%

Opioid rate vs peers

4.4% vs 2.6% avg

-54%

Cost per patient vs peers

$487 vs $1,068 avg

+14%

Brand preference vs peers

10.3% 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

4.4%

Opioid Rate

396

Opioid Claims

$6,201

Opioid Cost

Long-Acting Rate

Brand vs Generic

90% generic

Brand: 917 claims · $308K

Generic: 8,011 claims · $162K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Empagliflozin201$83K
Dabigatran Etexilate Mesylate141$41K
Apixaban19$35K
Rivaroxaban20$24K
Tiotropium Bromide27$17K
Fluticasone Propion/Salmeterol68$17K
Semaglutide19$14K
Liraglutide13$11K
Atorvastatin Calcium679$9,972
Potassium Chloride200$8,113
Levothyroxine Sodium338$7,540
Terazosin Hcl96$5,947
Insulin Nph Human Isophane33$5,887
Insulin Nph Hum/Reg Insulin Hm18$5,584
Alendronate Sodium80$5,547

Prescribing Profile

118

Unique Drugs

$141K

IRA Negotiated Drugs

$25K

GLP-1 Drugs

15.0

Anomaly Score

Patient Profile

75

Avg Age

54%

Female

1.15

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