⚠️

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 →

Nicholas StepanskiDO

Family Practice · Waterford, MI 48329

NPI: 1023547429

Share:

15

🟡 Moderate

Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

9,469

Total Claims

$1.2M

Drug Cost

736

Beneficiaries

$1,581

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

-11%

Opioid rate vs peers

2.3% vs 2.6% avg

+48%

Cost per patient vs peers

$1,581 vs $1,068 avg

+47%

Brand preference vs peers

13.2% 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

2.3%

Opioid Rate

217

Opioid Claims

$2,277

Opioid Cost

Long-Acting Rate

Brand vs Generic

87% generic

Brand: 1,248 claims · $949K

Generic: 8,172 claims · $205K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Fluticasone/Umeclidin/Vilanter88$117K
Dulaglutide56$92K
Apixaban85$78K
Empagliflozin47$62K
Dapagliflozin Propanediol33$45K
Semaglutide37$42K
Sitagliptin Phosphate32$39K
Rivaroxaban24$35K
Tirzepatide14$34K
Linaclotide28$33K
Budesonide/Formoterol Fumarate35$28K
Mirabegron20$23K
Insulin Glargine,hum.Rec.Anlog38$22K
Canagliflozin14$20K
Sacubitril/Valsartan11$19K

Prescribing Profile

134

Unique Drugs

$279K

IRA Negotiated Drugs

$168K

GLP-1 Drugs

15.0

Anomaly Score

Patient Profile

73

Avg Age

52%

Female

1.08

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