⚠️

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 →

Roy FaganMD

Internal Medicine · Reidsville, NC 27320

NPI: 1023075140

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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

15,681

Total Claims

$1.1M

Drug Cost

734

Beneficiaries

$1,488

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. 110,156 Internal Medicine providers

+3%

Opioid rate vs peers

2.3% vs 2.2% avg

+5%

Cost per patient vs peers

$1,488 vs $1,411 avg

-8%

Brand preference vs peers

9.8% 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

2.3%

Opioid Rate

363

Opioid Claims

$4,368

Opioid Cost

Long-Acting Rate

Brand vs Generic

90% generic

Brand: 1,518 claims · $860K

Generic: 13,977 claims · $226K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban219$184K
Empagliflozin135$112K
Rivaroxaban93$74K
Insulin Glargine,hum.Rec.Anlog93$71K
Liraglutide32$67K
Dulaglutide42$62K
Insulin Glargine,hum.Rec.Anlog28$27K
Semaglutide24$23K
Fluticasone/Umeclidin/Vilanter34$23K
Budesonide/Formoterol Fumarate45$22K
Sitagliptin Phosphate12$15K
Fluticasone/Vilanterol26$13K
Insulin Detemir16$11K
Losartan Potassium561$9,487
Insulin Lispro20$8,728

Prescribing Profile

171

Unique Drugs

$391K

IRA Negotiated Drugs

$152K

GLP-1 Drugs

24.0

Anomaly Score

Patient Profile

76

Avg Age

53%

Female

1.11

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