⚠️

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 →

Kelly MacheskyMD

Family Practice · Shelby Township, MI 48315

NPI: 1033168125

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21

🟡 Moderate

Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

12,721

Total Claims

$1.1M

Drug Cost

685

Beneficiaries

$1,566

Cost/Patient

Risk Score Breakdown 21/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8

Score components are additive. Read full methodology

Peer Comparison vs. 106,889 Family Practice providers

+21%

Opioid rate vs peers

3.1% vs 2.6% avg

+47%

Cost per patient vs peers

$1,566 vs $1,068 avg

+24%

Brand preference vs peers

11.1% 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

3.1%

Opioid Rate

397

Opioid Claims

$5,699

Opioid Cost

8.3%

Long-Acting Rate

Brand vs Generic

89% generic

Brand: 1,405 claims · $810K

Generic: 11,211 claims · $253K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Semaglutide64$99K
Insulin Glargine,hum.Rec.Anlog103$92K
Apixaban75$91K
Sitagliptin Phosphate51$66K
Empagliflozin41$56K
Dulaglutide41$51K
Rivaroxaban42$42K
Insulin Aspart31$37K
Tirzepatide23$32K
Budesonide/Formoterol Fumarate32$23K
Semaglutide15$21K
Sacubitril/Valsartan11$19K
Dapagliflozin Propanediol12$17K
Linaclotide14$14K
Fluticasone/Umeclidin/Vilanter13$13K

Prescribing Profile

154

Unique Drugs

$329K

IRA Negotiated Drugs

$203K

GLP-1 Drugs

21.0

Anomaly Score

Patient Profile

73

Avg Age

83%

Female

1.12

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