⚠️

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 →

Rebecca Rugen

Internal Medicine · Florissant, MO 63031

NPI: 1023129954

Share:

9

🟢 Low

Risk Flags

Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

8,567

Total Claims

$460K

Drug Cost

609

Beneficiaries

$755

Cost/Patient

Risk Score Breakdown 9/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid + benzodiazepine combo+8

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-87%

Opioid rate vs peers

0.3% vs 2.2% avg

-46%

Cost per patient vs peers

$755 vs $1,411 avg

-23%

Brand preference vs peers

8.1% 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

0.3%

Opioid Rate

25

Opioid Claims

$184

Opioid Cost

Long-Acting Rate

Brand vs Generic

92% generic

Brand: 694 claims · $312K

Generic: 7,831 claims · $146K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban50$46K
Empagliflozin43$36K
Semaglutide30$36K
Fluticasone Propion/Salmeterol56$19K
Rsvpref3 Antigen/As01e/Pf55$17K
Rivaroxaban21$15K
Linaclotide17$15K
Dapagliflozin Propanediol14$12K
Fluticasone/Umeclidin/Vilanter12$11K
Insulin Glargine,hum.Rec.Anlog14$9,856
Atorvastatin Calcium719$9,541
Budesonide/Formoterol Fumarate15$9,460
Insulin Detemir12$7,990
Fluticasone Propion/Salmeterol13$7,742
Potassium Chloride258$7,473

Prescribing Profile

100

Unique Drugs

$110K

IRA Negotiated Drugs

$36K

GLP-1 Drugs

9.0

Anomaly Score

Patient Profile

74

Avg Age

81%

Female

1.38

Avg Risk Score

Explore More

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