⚠️

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 →

Lynette CuginoMD

Internal Medicine · North Canton, OH 44720

NPI: 1043287501

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15

🟡 Moderate

Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

9,056

Total Claims

$550K

Drug Cost

539

Beneficiaries

$1,020

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. 110,156 Internal Medicine providers

-32%

Opioid rate vs peers

1.5% vs 2.2% avg

-28%

Cost per patient vs peers

$1,020 vs $1,411 avg

-27%

Brand preference vs peers

7.8% 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

1.5%

Opioid Rate

137

Opioid Claims

$2,078

Opioid Cost

Long-Acting Rate

Brand vs Generic

92% generic

Brand: 700 claims · $357K

Generic: 8,310 claims · $191K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban97$83K
Empagliflozin48$54K
Semaglutide23$30K
Rivaroxaban33$28K
Dulaglutide14$27K
Insulin Aspart23$13K
Budesonide/Formoterol Fumarate13$12K
Exenatide Microspheres11$9,447
Tiotropium Bromide13$9,352
Levothyroxine Sodium449$8,151
Atorvastatin Calcium560$7,955
Pregabalin74$6,834
Metoprolol Succinate257$6,575
Ipratropium/Albuterol Sulfate13$6,340
Rosuvastatin Calcium274$6,197

Prescribing Profile

123

Unique Drugs

$177K

IRA Negotiated Drugs

$58K

GLP-1 Drugs

15.0

Anomaly Score

Patient Profile

74

Avg Age

67%

Female

0.96

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