⚠️

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 →

Richard WhalenMD

Internal Medicine · Titusville, PA 16354

NPI: 1043202138

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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

13,151

Total Claims

$2.0M

Drug Cost

746

Beneficiaries

$2,717

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. 110,156 Internal Medicine providers

+34%

Opioid rate vs peers

3.0% vs 2.2% avg

+93%

Cost per patient vs peers

$2,717 vs $1,411 avg

+52%

Brand preference vs peers

16.1% 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

3.0%

Opioid Rate

393

Opioid Claims

$9,735

Opioid Cost

10.4%

Long-Acting Rate

Brand vs Generic

84% generic

Brand: 2,104 claims · $1.8M

Generic: 10,940 claims · $233K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban331$298K
Empagliflozin230$268K
Semaglutide214$227K
Sacubitril/Valsartan108$116K
Fluticasone/Umeclidin/Vilanter115$104K
Rivaroxaban121$102K
Dulaglutide86$89K
Semaglutide52$63K
Insulin Glargine/Lixisenatide52$43K
Paliperidone Palmitate12$39K
Dapagliflozin Propanediol33$34K
Insulin Degludec/Liraglutide25$33K
Insulin Glargine,hum.Rec.Anlog35$31K
Mirabegron43$30K
Insulin Glargine,hum.Rec.Anlog15$28K

Prescribing Profile

152

Unique Drugs

$818K

IRA Negotiated Drugs

$379K

GLP-1 Drugs

21.0

Anomaly Score

Patient Profile

74

Avg Age

57%

Female

1.30

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