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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 →

Mark Simon

Family Practice · Massillon, OH 44646

NPI: 1053307694

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18

🟡 Moderate

Risk Flags

Elevated antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberHigh fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

16,627

Total Claims

$1.4M

Drug Cost

821

Beneficiaries

$1,669

Cost/Patient

Risk Score Breakdown 18/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid + benzodiazepine combo+8
Elderly antipsychotic prescribing+5
High fills per patient+3

Score components are additive. Read full methodology

Peer Comparison vs. 106,889 Family Practice providers

-94%

Opioid rate vs peers

0.2% vs 2.6% avg

+56%

Cost per patient vs peers

$1,669 vs $1,068 avg

+14%

Brand preference vs peers

10.3% 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

0.2%

Opioid Rate

26

Opioid Claims

$80

Opioid Cost

Long-Acting Rate

Brand vs Generic

90% generic

Brand: 1,689 claims · $1.1M

Generic: 14,748 claims · $235K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Empagliflozin122$119K
Apixaban127$118K
Rivaroxaban96$82K
Semaglutide51$52K
Evolocumab47$50K
Insulin Glargine,hum.Rec.Anlog56$42K
Dulaglutide32$42K
Fluticasone/Umeclidin/Vilanter34$41K
Dapagliflozin Propanediol35$32K
Budesonide/Glycopyr/Formoterol33$29K
Insulin Degludec30$25K
Semaglutide13$24K
Tiotropium Bromide20$23K
Finerenone11$17K
Icosapent Ethyl31$17K

Prescribing Profile

162

Unique Drugs

$352K

IRA Negotiated Drugs

$118K

GLP-1 Drugs

18.0

Anomaly Score

Patient Profile

74

Avg Age

54%

Female

1.27

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