⚠️

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 →

Brian SankeyD.O.

Family Practice · Waterloo, IA 50702

NPI: 1043479355

Share:

21

🟡 Moderate

ML Fraud Detection Score: 85%

Machine learning model identifies prescribing patterns consistent with confirmed fraud cases. This is a statistical indicator, not an accusation.

Learn more →

Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

15,569

Total Claims

$961K

Drug Cost

887

Beneficiaries

$1,084

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

-23%

Opioid rate vs peers

2.0% vs 2.6% avg

+2%

Cost per patient vs peers

$1,084 vs $1,068 avg

+12%

Brand preference vs peers

10.0% 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

🤖

ML fraud detection score of 85% indicates prescribing patterns with significant similarity to confirmed fraud cases. 17 out of 20 decision trees flagged this provider.

⚠️

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

2.0%

Opioid Rate

310

Opioid Claims

$5,123

Opioid Cost

8.1%

Long-Acting Rate

Brand vs Generic

90% generic

Brand: 1,555 claims · $680K

Generic: 13,926 claims · $276K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban171$144K
Insulin Glargine,hum.Rec.Anlog49$43K
Rivaroxaban51$34K
Linaclotide44$33K
Tirzepatide25$30K
Dexlansoprazole63$28K
Sitagliptin Phosphate49$24K
Insulin Detemir22$19K
Sitagliptin Phos/Metformin Hcl11$19K
Budesonide/Formoterol Fumarate32$18K
Oxcarbazepine13$16K
Insulin Degludec13$13K
Lipase/Protease/Amylase12$12K
Levothyroxine Sodium816$12K
Insulin Glargine,hum.Rec.Anlog23$11K

Prescribing Profile

169

Unique Drugs

$218K

IRA Negotiated Drugs

$30K

GLP-1 Drugs

21.0

Anomaly Score

Patient Profile

72

Avg Age

47%

Female

1.13

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