⚠️

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 →

Selena RainesDO

Family Practice · Morehead, KY 40351

NPI: 1043697477

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9

🟢 Low

Risk Flags

Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

9,933

Total Claims

$1.2M

Drug Cost

529

Beneficiaries

$2,268

Cost/Patient

Risk Score Breakdown 9/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid + benzodiazepine combo+8

Score components are additive. Read full methodology

Peer Comparison vs. 106,889 Family Practice providers

+42%

Opioid rate vs peers

3.7% vs 2.6% avg

+112%

Cost per patient vs peers

$2,268 vs $1,068 avg

+53%

Brand preference vs peers

13.8% 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

3.7%

Opioid Rate

364

Opioid Claims

$15K

Opioid Cost

4.1%

Long-Acting Rate

Brand vs Generic

86% generic

Brand: 1,350 claims · $999K

Generic: 8,465 claims · $186K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Sitagliptin Phosphate91$135K
Semaglutide118$121K
Apixaban77$100K
Insulin Glargine,hum.Rec.Anlog76$83K
Tirzepatide45$51K
Budesonide/Formoterol Fumarate65$38K
Insulin Lispro21$29K
Insulin Detemir22$29K
Rivaroxaban18$23K
Canagliflozin19$20K
Insulin Degludec13$18K
Insulin Glargine,hum.Rec.Anlog22$17K
Linaclotide22$15K
Fluticasone/Umeclidin/Vilanter20$15K
Empagliflozin14$15K

Prescribing Profile

140

Unique Drugs

$285K

IRA Negotiated Drugs

$172K

GLP-1 Drugs

9.0

Anomaly Score

Patient Profile

72

Avg Age

68%

Female

1.33

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