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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 →

William Heppenstall

Internal Medicine · Philadelphia, PA 19120

NPI: 1023558400

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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

23,154

Total Claims

$3.3M

Drug Cost

948

Beneficiaries

$3,515

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

-46%

Opioid rate vs peers

1.2% vs 2.2% avg

+149%

Cost per patient vs peers

$3,515 vs $1,411 avg

+72%

Brand preference vs peers

18.3% 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

1.2%

Opioid Rate

282

Opioid Claims

$3,725

Opioid Cost

Long-Acting Rate

Brand vs Generic

82% generic

Brand: 4,161 claims · $2.8M

Generic: 18,628 claims · $541K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Dulaglutide318$371K
Empagliflozin344$336K
Dapagliflozin Propanediol281$271K
Apixaban219$206K
Sitagliptin Phosphate156$186K
Fluticasone/Umeclidin/Vilanter193$144K
Rivaroxaban138$114K
Semaglutide95$105K
Linaclotide141$98K
Insulin Glargine,hum.Rec.Anlog171$85K
Semaglutide59$71K
Insulin Lispro72$63K
Varenicline Tartrate123$47K
Budesonide/Formoterol Fumarate92$46K
Insulin Aspart62$43K

Prescribing Profile

204

Unique Drugs

$1.2M

IRA Negotiated Drugs

$548K

GLP-1 Drugs

24.0

Anomaly Score

Patient Profile

68

Avg Age

61%

Female

1.47

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